Provider Demographics
NPI:1053413575
Name:TIFT FEATHERSTONE, BARBARA (MA, MFT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:TIFT FEATHERSTONE
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16526 BLARNEY LN
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-9770
Mailing Address - Country:US
Mailing Address - Phone:530-246-3421
Mailing Address - Fax:530-246-4422
Practice Address - Street 1:1352 OREGON ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1621
Practice Address - Country:US
Practice Address - Phone:530-246-3421
Practice Address - Fax:530-246-4422
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35800106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ59584ZMedicare ID - Type Unspecified