Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Champion

Individual provider Marriage & Family Therapist · NPI 1457248916

Mary Champion is a Marriage & Family Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

5340 Skylane Blvd
Santa Rosa, CA 95403-8246
Phone: (707) 524-2711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence LEP4613 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence LMFT96596 (CA)

Record details

NPI number1457248916
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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