| Equine Insight | |
|
700 E St Ste 205 San Rafael CA 94901-2782 | |
| (415) 457-3800 | |
| (866) 849-0672 |
| Full Name | Equine Insight |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 700 E St Ste 205, San Rafael, California |
| Authorized Official Name and Position | Judy Weston-thompson (OWNER) |
| Authorized Official Contact | 4156994058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equine Insight 68 Margarita Ter Novato CA 94947-4732 Ph: (415) 699-4058 | Equine Insight 700 E St Ste 205 San Rafael CA 94901-2782 Ph: (415) 457-3800 |
| NPI Number | 1801437736 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 7517303282 |
|---|---|
| Medicare Enrollment ID | O20240316000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801437736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Judith Weston-thompson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982743795 PECOS PAC ID: 8426494196 Enrollment ID: I20240316000073 |
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