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126 W 25th Ave Suite 200 San Mateo CA 94403-2208 | |
| (650) 286-2090 | |
| (650) 286-2092 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 126 W 25th Ave, San Mateo, California |
| Authorized Official Name and Position | Thomas N Alexander (PRESIDENT AND CEO) |
| Authorized Official Contact | 5104822244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
126 W 25th Ave Suite 200 San Mateo CA 94403-2208 Ph: (650) 286-2090 | 126 W 25th Ave Suite 200 San Mateo CA 94403-2208 Ph: (650) 286-2090 |
| NPI Number | 1740314855 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 09/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740314855 | NPI | - | NPPES |
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