| Collective Illume, A Marriage And Family Therapy Corporation | |
|
573 Este Madera Dr Sonoma CA 95476-7733 | |
| (858) 247-2580 | |
| Not Available |
| Full Name | Collective Illume, A Marriage And Family Therapy Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 573 Este Madera Dr, Sonoma, California |
| Authorized Official Name and Position | Margaret Oh (OWNER) |
| Authorized Official Contact | 8582472580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collective Illume, A Marriage And Family Therapy Corporation 2108 N St Ste 12224 Sacramento CA 95816-5712 Ph: (858) 247-2580 | Collective Illume, A Marriage And Family Therapy Corporation 573 Este Madera Dr Sonoma CA 95476-7733 Ph: (858) 247-2580 |
| NPI Number | 1801782651 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801782651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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