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334 Village Ln Los Gatos CA 95030-7218 | |
| (408) 508-6789 | |
| (408) 399-8909 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 334 Village Ln, Los Gatos, California |
| Authorized Official Name and Position | Maaliea Wilbur (OWNER AND PRESIDENT) |
| Authorized Official Contact | 4085086789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
334 Village Ln Los Gatos CA 95030-7218 Ph: () - | 334 Village Ln Los Gatos CA 95030-7218 Ph: (408) 508-6789 |
| NPI Number | 1790176642 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 02/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790176642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 50997 (California) | Primary |
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