| Family Therapy Center, A Professional Licensed Clinical Social Worker | |
|
14651 S Bascom Ave Suite 225 Los Gatos CA 95032-2014 | |
| (408) 560-0065 | |
| Not Available |
| Full Name | Family Therapy Center, A Professional Licensed Clinical Social Worker |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14651 S Bascom Ave, Los Gatos, California |
| Authorized Official Name and Position | Lindsay Smith (OWNER) |
| Authorized Official Contact | 4085600065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Therapy Center, A Professional Licensed Clinical Social Worker 246 Union Ave Los Gatos CA 95032-3903 Ph: () - | Family Therapy Center, A Professional Licensed Clinical Social Worker 14651 S Bascom Ave Suite 225 Los Gatos CA 95032-2014 Ph: (408) 560-0065 |
| NPI Number | 1437601374 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437601374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW 24906 (California) | Primary |
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