| Counseling Associates Of Marin, A Lcsw Organization | |
|
240 Miller Ave Ste C Mill Valley CA 94941-2858 | |
| (415) 946-9428 | |
| Not Available |
| Full Name | Counseling Associates Of Marin, A Lcsw Organization |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 240 Miller Ave Ste C, Mill Valley, California |
| Authorized Official Name and Position | Lisa Robertson Veyssiere (OWNER) |
| Authorized Official Contact | 4159369428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Of Marin, A Lcsw Organization 145 Corte Madera Town Ctr # 124 Corte Madera CA 94925-1209 Ph: (415) 936-9428 | Counseling Associates Of Marin, A Lcsw Organization 240 Miller Ave Ste C Mill Valley CA 94941-2858 Ph: (415) 946-9428 |
| NPI Number | 1639768344 |
|---|---|
| Provider Enumeration Date | 01/16/2021 |
| Last Update Date | 01/16/2021 |
| Certification Date | 01/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639768344 | NPI | - | NPPES |
| 1891171971 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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