Child Therapy Institute Of Marin | |
1903 Berkeley Way # 5 Berkeley CA 94704-1007 | |
(415) 456-7724 | |
Not Available |
Full Name | Child Therapy Institute Of Marin |
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Speciality | Marriage & Family Therapist |
Location | 1903 Berkeley Way # 5, Berkeley, California |
Authorized Official Name and Position | Lucelle Hoefnagels (ADMINISTRATION) |
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 Institute Of Marin 1480 Lincoln Ave Ste 8 San Rafael CA 94901-2085 Ph: (415) 456-7724 | Child Therapy Institute Of Marin 1903 Berkeley Way # 5 Berkeley CA 94704-1007 Ph: (415) 456-7724 |
NPI Number | 1780409219 |
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Provider Enumeration Date | 11/19/2024 |
Last Update Date | 11/19/2024 |
Certification Date | 11/19/2024 |
Identifier | Type | State | Issuer |
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1780409219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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