Provider Demographics
NPI:1447485743
Name:MORDEN, BARBARA ANN (MFT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:MORDEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7003 SUTHERLAND WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-4412
Mailing Address - Country:US
Mailing Address - Phone:916-221-8328
Mailing Address - Fax:
Practice Address - Street 1:7003 SUTHERLAND WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-4412
Practice Address - Country:US
Practice Address - Phone:916-221-8328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC46181106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist