| Child Therapy Institute Of Marin | |
|
13925 San Pablo Ave Ste 205 San Pablo CA 94806-3676 | |
| (510) 778-8114 | |
| (510) 778-8255 |
| Full Name | Child Therapy Institute Of Marin |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 13925 San Pablo Ave Ste 205, San Pablo, California |
| Authorized Official Name and Position | Sherie Shughart (OFFICE MANAGER) |
| Authorized Official Contact | 4154567724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Therapy Institute Of Marin 1480 Lincoln Ave Ste 8 San Rafael CA 94901-2085 Ph: (415) 456-7724 | Child Therapy Institute Of Marin 13925 San Pablo Ave Ste 205 San Pablo CA 94806-3676 Ph: (510) 778-8114 |
| NPI Number | 1538832027 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538832027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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