MR. Archiebald Wollo

NPI #1740699412 in Kentfield, California

Provider Information

NPI Number: 1740699412
Entity Type: Individual
Name: MR. Archiebald Wollo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 7, 2014
Last Updated: Aug 7, 2014

Practice Location

Address: 1109 SIR FRANCIS DRAKE BLVD
City: Kentfield
State: California
ZIP Code: 94904-1418
Phone: (415) 256-9995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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