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MELISSA LEE VAN WAGENEN LMFTI
NPI 1902326507
Marriage & Family Therapist in Redwood City, CA

Active since June 23, 2017
643 BAIR ISLAND RD # 301, REDWOOD CITY, CA 94063(650) 424-0852 Get Directions Write a Review

NPPES record last updated: June 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Lee Van Wagenen Lmfti NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA LEE VAN WAGENEN LMFTI (NPI 1902326507) is an individual marriage & family therapist in Redwood City, California, licensed in California (IMF96544) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1902326507
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMELISSA LEE VAN WAGENENCredential: LMFTI
Location Address643 BAIR ISLAND RD # 301Redwood City, CA 94063-2754
Mailing AddressPo Box 92152Pasadena, CA 91109-2152 · (818) 720-9152
Phone(650) 424-0852
Sole ProprietorNo
Enumeration DateJune 23, 2017
✔ NPI 1902326507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · IMF96544
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
643 BAIR ISLAND RD # 301, Redwood City, CA 94063
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Van Wagenen's NPI number?

The NPI number for Melissa Van Wagenen is 1902326507. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Melissa Van Wagenen located?

Melissa Van Wagenen practices at 643 Bair Island Rd # 301, Redwood City, CA 94063. The listed phone number is (650) 424-0852.

What is Melissa Van Wagenen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Melissa Van Wagenen was last updated on June 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.