Child Therapy Institute of Marin
NPI #1780409219 in Berkeley, California
Provider Information
- NPI Number
- 1780409219
- Entity Type
- Organization
- Organization Name
- Child Therapy Institute of Marin
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Nov 19, 2024
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 1903 BERKELEY WAY # 5
- City
- Berkeley
- State
- California
- ZIP Code
- 94704-1007
- Phone
- (415) 456-7724
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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