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1682 Novato Blvd Ste 105 Novato CA 94947-7021 | |
| (415) 473-2721 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1682 Novato Blvd Ste 105, Novato, California |
| Authorized Official Name and Position | Rosanna Lallana (COMPLIANCE PRIVACY SECURITY OFCR) |
| Authorized Official Contact | 4154732531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
20 N San Pedro Rd Ste 2021 San Rafael CA 94903-4158 Ph: (415) 473-2721 | 1682 Novato Blvd Ste 105 Novato CA 94947-7021 Ph: (415) 473-2721 |
| NPI Number | 1679081335 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679081335 | NPI | - | NPPES |
| 2177 | Medicaid | CA |
Sonnee Weedn, Phd, A Professional Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Hamilton Lndg, Suite 230, Novato, CA 94949 Phone: 415-883-7758 Fax: 415-883-8385 | |
Ritter Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1399 N Hamilton Pkwy, Classroom 2, Novato, CA 94949 Phone: 415-382-3363 | |
Sonnee Weedn, Ph.d., Professional Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Hamilton Lndg, Suite 230, Novato, CA 94949 Phone: 415-883-7758 Fax: 415-883-8385 |