| Echo Rock Therapy Center | |
|
45 Camino Alto Ste 200 Mill Valley CA 94941-2929 | |
| (415) 383-6048 | |
| (415) 388-0111 |
| Full Name | Echo Rock Therapy Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 45 Camino Alto, Mill Valley, California |
| Authorized Official Name and Position | Grant Rudolph (CO-DIRCETOR) |
| Authorized Official Contact | 4153899430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Echo Rock Therapy Center 30 Catalpa Ave Mill Valley CA 94941-2802 Ph: (415) 383-6048 | Echo Rock Therapy Center 45 Camino Alto Ste 200 Mill Valley CA 94941-2929 Ph: (415) 383-6048 |
| NPI Number | 1508986456 |
|---|---|
| Provider Enumeration Date | 04/01/2007 |
| Last Update Date | 05/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508986456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFC28068 (California) | Primary |
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