| Bay Area Center For Psychotherapy | |
|
105 Morris St Ste 180 Sebastopol CA 95472-3835 | |
| (707) 861-0658 | |
| Not Available |
| Full Name | Bay Area Center For Psychotherapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 105 Morris St Ste 180, Sebastopol, California |
| Authorized Official Name and Position | Jordan Pelot (ADMINISTRATOR/PROVIDER) |
| Authorized Official Contact | 7078610658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Center For Psychotherapy 105 Morris St Ste 180 Sebastopol CA 95472-3835 Ph: (707) 861-0658 | Bay Area Center For Psychotherapy 105 Morris St Ste 180 Sebastopol CA 95472-3835 Ph: (707) 861-0658 |
| NPI Number | 1033634928 |
|---|---|
| Provider Enumeration Date | 08/11/2017 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033634928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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