# BURNSIDE THERAPY SOLUTIONS, MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023944980
- **Authorized official:** JAIME BURNSIDE (OWNER)
- **Authorized official phone:** (707) 494-6093

## Contact information

- **Practice address:** 4865 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1415
- **Practice address phone:** (707) 494-6093
- **Mailing address:** 1123 S CLOVERDALE BLVD STE E, CLOVERDALE, CA 95425-4403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2026
- **Last updated:** 07/08/2026