| Child Therapy Institute Of Marin | |
|
9240 Old Redwood Hwy Unit 200 Windsor CA 95492-9349 | |
| (415) 456-7724 | |
| (415) 456-1050 |
| Full Name | Child Therapy Institute Of Marin |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 9240 Old Redwood Hwy Unit 200, Windsor, California |
| Authorized Official Name and Position | Sherie Shughart (ADMIN) |
| 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: (415) 456-7724 | Child Therapy Institute Of Marin 9240 Old Redwood Hwy Unit 200 Windsor CA 95492-9349 Ph: (415) 456-7724 |
| NPI Number | 1780322842 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 05/26/2022 |
| Certification Date | 05/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780322842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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