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Organization
WILD GOOSE MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION
Active
Organization
WILD GOOSE MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTI ELIZABETH FAYE TOURVILLE LMFT (PRESIDENT)
(530) 588-0035
Entity
Organization
Contact information
Practice address
574 MANZANITA AVE STE 8, CHICO, CA 95926-1369
(530) 570-2453
Mailing address
550 VALLOMBROSA AVE, P.O. BOX 2323, CHICO, CA 95926
(530) 570-2453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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