| Kathleen Carlson Mft Inc | |
|
1710 S Amphlett Blvd Ste 210h San Mateo CA 94402-2705 | |
| (650) 619-1198 | |
| Not Available |
| Full Name | Kathleen Carlson Mft Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1710 S Amphlett Blvd Ste 210h, San Mateo, California |
| Authorized Official Name and Position | Kathleen Carlson (CEO) |
| Authorized Official Contact | 6506191198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Carlson Mft Inc 1710 S Amphlett Blvd #210h San Mateo CA 94402-2703 Ph: (650) 619-1198 | Kathleen Carlson Mft Inc 1710 S Amphlett Blvd Ste 210h San Mateo CA 94402-2705 Ph: (650) 619-1198 |
| NPI Number | 1114132065 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 04/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114132065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 17742 (California) | Primary |
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