| Breakaway Child And Family Therapy, Pc | |
|
177 Butcher Rd Ste A Vacaville CA 95687-5695 | |
| (510) 384-1778 | |
| Not Available |
| Full Name | Breakaway Child And Family Therapy, Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 177 Butcher Rd Ste A, Vacaville, California |
| Authorized Official Name and Position | Venyei Angh (FOUNDER) |
| Authorized Official Contact | 5103841778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakaway Child And Family Therapy, Pc 177 Butcher Rd Ste A Vacaville CA 95687-5695 Ph: (510) 384-1778 | Breakaway Child And Family Therapy, Pc 177 Butcher Rd Ste A Vacaville CA 95687-5695 Ph: (510) 384-1778 |
| NPI Number | 1366333841 |
|---|---|
| Provider Enumeration Date | 07/11/2025 |
| Last Update Date | 07/11/2025 |
| Certification Date | 07/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366333841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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