| Psychotherapist Coach A Marriage And Family Therapist Corporation | |
|
534 Avalon Dr South San Francisco CA 94080-5558 | |
| (805) 807-3574 | |
| (415) 614-4206 |
| Full Name | Psychotherapist Coach A Marriage And Family Therapist Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 534 Avalon Dr, South San Francisco, California |
| Authorized Official Name and Position | Lynndal K Daniels (CEO/PRESIDENT) |
| Authorized Official Contact | 4157122328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapist Coach A Marriage And Family Therapist Corporation 534 Avalon Dr South San Francisco CA 94080-5558 Ph: (805) 807-3574 | Psychotherapist Coach A Marriage And Family Therapist Corporation 534 Avalon Dr South San Francisco CA 94080-5558 Ph: (805) 807-3574 |
| NPI Number | 1114704228 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114704228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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