| Child Therapy Institute Of Marin | |
|
558 San Anselmo Ave San Anselmo CA 94960-2621 | |
| (415) 456-7724 | |
| (415) 456-1050 |
| Full Name | Child Therapy Institute Of Marin |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 558 San Anselmo Ave, San Anselmo, California |
| Authorized Official Name and Position | Sherie Shughart (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 4154567724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Therapy Institute Of Marin 1480 Lincoln Ave Ste 8 San Rafael CA 94901-2085 Ph: () - | Child Therapy Institute Of Marin 558 San Anselmo Ave San Anselmo CA 94960-2621 Ph: (415) 456-7724 |
| NPI Number | 1821633348 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821633348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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