| Berkeley Holistic Therapy, A Marriage And Family Therapy Corporation | |
|
1500 Russell St Berkeley CA 94703-2020 | |
| (510) 545-3350 | |
| Not Available |
| Full Name | Berkeley Holistic Therapy, A Marriage And Family Therapy Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1500 Russell St, Berkeley, California |
| Authorized Official Name and Position | Jessica Vechakul (PRESIDENT) |
| Authorized Official Contact | 5103162503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley Holistic Therapy, A Marriage And Family Therapy Corporation 2342 Shattuck Ave Unit 879 Berkeley CA 94704-1517 Ph: (510) 545-3360 | Berkeley Holistic Therapy, A Marriage And Family Therapy Corporation 1500 Russell St Berkeley CA 94703-2020 Ph: (510) 545-3350 |
| NPI Number | 1932799111 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932799111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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