An Individual Marriage and Relationship Therapy Corporation
NPI #1225765787 in San Mateo, California
Provider Information
- NPI Number
- 1225765787
- Entity Type
- Organization
- Organization Name
- An Individual Marriage and Relationship Therapy Corporation
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 4, 2022
- Last Updated
- Aug 4, 2022
Practice Location
- Address
- 1015 SHORELINE DR
- City
- San Mateo
- State
- California
- ZIP Code
- 94404-2047
- Phone
- (650) 762-5284
Authorized Official
- Name
- MS. JEANNE PERI SUTTON, LMFT
- Title
- CEO/OWNER
- Phone
- (650) 762-5284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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