| County Of Marin | |
|
1 6th Street Point Reyes Station CA 94956 | |
| (415) 473-3801 | |
| (415) 473-3828 |
| Full Name | County Of Marin |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 6th Street, Point Reyes Station, 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 |
|---|---|
| County Of Marin 20 N San Pedro Rd San Rafael CA 94903-4188 Ph: (415) 473-2087 | County Of Marin 1 6th Street Point Reyes Station CA 94956 Ph: (415) 473-3801 |
| NPI Number | 1356404586 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 05/27/2023 |
| Certification Date | 05/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356404586 | NPI | - | NPPES |
| 000002177 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
Katharina Sandizell, Marriage Family Therapy, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Viento Way, Point Reyes Station, CA 94956 Phone: 415-728-7000 |