| Family Service Agency | |
|
555 Northgate Dr San Rafael CA 94903-3680 | |
| (415) 491-5700 | |
| Not Available |
| Full Name | Family Service Agency |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 555 Northgate Dr, San Rafael, California |
| Authorized Official Name and Position | Rachelle Averbach (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4154534662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Agency 555 Northgate Dr San Rafael CA 94903-3680 Ph: (415) 491-5700 | Family Service Agency 555 Northgate Dr San Rafael CA 94903-3680 Ph: (415) 491-5700 |
| NPI Number | 1861561946 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 07/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861561946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT 23824 (California) | Primary |
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