| A Good Place Therapy Pacific | |
|
2485 Clay St Ste 104 San Francisco CA 94115-1874 | |
| (415) 329-2882 | |
| Not Available |
| Full Name | A Good Place Therapy Pacific |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2485 Clay St Ste 104, San Francisco, California |
| Authorized Official Name and Position | Kerrie Ann Mohr (CEO) |
| Authorized Official Contact | 2122274343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Good Place Therapy Pacific 225 Broadway Ste 2070 New York NY 10007-3001 Ph: (212) 227-4343 | A Good Place Therapy Pacific 2485 Clay St Ste 104 San Francisco CA 94115-1874 Ph: (415) 329-2882 |
| NPI Number | 1982297008 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982297008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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