| Jewish Family And Childrens Services | |
|
600 5th Ave San Rafael CA 94901-3348 | |
| (415) 491-7960 | |
| (415) 491-7958 |
| Full Name | Jewish Family And Childrens Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 600 5th Ave, San Rafael, California |
| Authorized Official Name and Position | Don Sussman (SUPERVISOR) |
| Authorized Official Contact | 6506883046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family And Childrens Services 200 Channing Ave Palo Alto CA 94301-2720 Ph: (650) 688-3038 | Jewish Family And Childrens Services 600 5th Ave San Rafael CA 94901-3348 Ph: (415) 491-7960 |
| NPI Number | 1780791020 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780791020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCS11583 (California) | Primary |
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