Child Therapy Institute of Marin
NPI #1821633348 in San Anselmo, California
Provider Information
- NPI Number
- 1821633348
- Entity Type
- Organization
- Organization Name
- Child Therapy Institute of Marin
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Nov 7, 2019
- Last Updated
- Nov 7, 2019
Practice Location
- Address
- 558 SAN ANSELMO AVE
- City
- San Anselmo
- State
- California
- ZIP Code
- 94960-2621
- Phone
- (415) 456-7724
Authorized Official
- Name
- SHERIE SHUGHART
- Title
- ADMINISTRATIVE ASSISTANT
- Phone
- (415) 456-7724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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