Provider Demographics
NPI:1962887554
Name:RAJ SINGH, GURMEET KAUR (LMFT)
Entity type:Individual
Prefix:
First Name:GURMEET
Middle Name:KAUR
Last Name:RAJ SINGH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3145 GOLDEN POPPY LN
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95209-3785
Mailing Address - Country:US
Mailing Address - Phone:209-406-0196
Mailing Address - Fax:
Practice Address - Street 1:4635 GEORGETOWN PL STE A
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-6203
Practice Address - Country:US
Practice Address - Phone:209-452-9214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT89469106H00000X
CA83230106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist