| Embracing Life Psychotherapy Inc. | |
|
133 1/2 Kentucky St Petaluma CA 94952-2925 | |
| (650) 360-2211 | |
| Not Available |
| Full Name | Embracing Life Psychotherapy Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 133 1/2 Kentucky St, Petaluma, California |
| Authorized Official Name and Position | Laurette Lipman (OWNER) |
| Authorized Official Contact | 6503602211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embracing Life Psychotherapy Inc. 133 1/2 Kentucky St Petaluma CA 94952-2925 Ph: () - | Embracing Life Psychotherapy Inc. 133 1/2 Kentucky St Petaluma CA 94952-2925 Ph: (650) 360-2211 |
| NPI Number | 1669239083 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669239083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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