| Larry Fritzlan Recovery Services, Inc. | |
|
21 Tamal Vista Blvd Suite 226 Corte Madera CA 94925-1130 | |
| (415) 945-0923 | |
| Not Available |
| Full Name | Larry Fritzlan Recovery Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 21 Tamal Vista Blvd, Corte Madera, California |
| Authorized Official Name and Position | Larry Fritzlan (OWNER) |
| Authorized Official Contact | 4159450923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Fritzlan Recovery Services, Inc. 21 Tamal Vista Blvd Suite 226 Corte Madera CA 94925-1130 Ph: () - | Larry Fritzlan Recovery Services, Inc. 21 Tamal Vista Blvd Suite 226 Corte Madera CA 94925-1130 Ph: (415) 945-0923 |
| NPI Number | 1154752012 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154752012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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