| Child Therapy Insittute Of Marin | |
|
13925 San Pablo Ave Ste 203&205 San Pablo CA 94806-3652 | |
| (415) 456-7724 | |
| Not Available |
| Full Name | Child Therapy Insittute Of Marin |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13925 San Pablo Ave Ste 203&205, San Pablo, California |
| Authorized Official Name and Position | Sherie Shughart (OFFICE MANAGER) |
| Authorized Official Contact | 4154567724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Therapy Insittute Of Marin 1480 Lincoln Ave Ste 8 San Rafael CA 94901-2085 Ph: () - | Child Therapy Insittute Of Marin 13925 San Pablo Ave Ste 203&205 San Pablo CA 94806-3652 Ph: (415) 456-7724 |
| NPI Number | 1730662818 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730662818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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