Search › California › 106H00000X
William Formaker, MFT
NPI 1811901143 · on the registry since 2006 · sole proprietor
Practice
- Address
- 606 Beaver St
Santa Rosa, CA 95404 - Phone
- (707) 544-5717
- Fax
- (707) 887-8208
- Organisation at this address
- William J. Formaker, Mft
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California