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3705 Haven Ave Ste 125 Menlo Park CA 94025-1011 | |
| (650) 667-0117 | |
| (800) 858-5809 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3705 Haven Ave Ste 125, Menlo Park, California |
| Authorized Official Name and Position | Karla Amanda Brown (OWNER) |
| Authorized Official Contact | 6506670117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3705 Haven Ave Ste 125 Menlo Park CA 94025-1011 Ph: (650) 667-0117 | 3705 Haven Ave Ste 125 Menlo Park CA 94025-1011 Ph: (650) 667-0117 |
| NPI Number | 1619482726 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619482726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 103907 (California) | Primary |
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