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

Mrs. Mary M Fossum

Individual provider Marriage & Family Therapist · NPI 1245582121

Mrs. Mary M Fossum is a Marriage & Family Therapist in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

1722 Professional Dr
Sacramento, CA 95825-2105
Phone: (916) 716-0095
Fax: (916) 973-9158
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFC40137 (CA)

Record details

NPI number1245582121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2012
Last updated in NPPESOctober 3, 2012

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