Child Therapy Insittute Of Marin | |
13925 San Pablo Ave Ste 201&203&205 San Pablo CA 94806-3652 | |
(415) 456-7724 | |
Not Available |
Full Name | Child Therapy Insittute Of Marin |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 13925 San Pablo Ave Ste 201&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 |
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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 201&203&205 San Pablo CA 94806-3652 Ph: (415) 456-7724 |
NPI Number | 1730662818 |
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Provider Enumeration Date | 09/13/2018 |
Last Update Date | 11/12/2024 |
Certification Date | 11/12/2024 |
Identifier | Type | State | Issuer |
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1730662818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Tri-cities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2523 El Portal Dr Ste 206, San Pablo, CA 94806 Phone: 510-374-7017 | |
Rectory Womens Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Church Ln, San Pablo, CA 94806 Phone: 510-236-3139 Fax: 510-236-3200 | |