Diana S Poulson
NPI #1114241205 in Sebastopol, California
Provider Information
- NPI Number
- 1114241205
- Entity Type
- Individual
- Name
- Diana S Poulson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Mar 18, 2010
- Last Updated
- Mar 18, 2010
Practice Location
- Address
- 7765 HEALDSBURG AVE
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-3309
- Phone
- (707) 824-4782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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