Provider Demographics
NPI:1124320122
Name:POYTRESS, MARGARET
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:POYTRESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 491424
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049
Mailing Address - Country:US
Mailing Address - Phone:530-276-8707
Mailing Address - Fax:
Practice Address - Street 1:930 EXECUTIVE WAY STE 125
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0634
Practice Address - Country:US
Practice Address - Phone:530-276-8707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76687106H00000X
CA135623106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist