Child Therapy Institute of Marin
NPI #1538832027 in San Pablo, California
Provider Information
- NPI Number
- 1538832027
- Entity Type
- Organization
- Organization Name
- Child Therapy Institute of Marin
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jul 29, 2021
- Last Updated
- Nov 12, 2024
Practice Location
- Address
- 13925 SAN PABLO AVE #201, #203, #205
- City
- San Pablo
- State
- California
- ZIP Code
- 94806-3676
- Phone
- (510) 778-8114
Authorized Official
- Name
- LUCELLE HOEFNAGELS
- Title
- ADMINISTRATION
- Phone
- (415) 456-7724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Marriage & Family Therapist |
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