| Family And Group Therapy , A Professional Corporation | |
|
4966 El Camino Real Ste 216 Los Altos CA 94022-1458 | |
| (650) 793-4642 | |
| Not Available |
| Full Name | Family And Group Therapy , A Professional Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4966 El Camino Real Ste 216, Los Altos, California |
| Authorized Official Name and Position | Svetlana Tikhonova (CLINICIAN) |
| Authorized Official Contact | 6507934642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Group Therapy , A Professional Corporation 4966 El Camino Real Ste 216 Los Altos CA 94022-1458 Ph: (650) 793-4642 | Family And Group Therapy , A Professional Corporation 4966 El Camino Real Ste 216 Los Altos CA 94022-1458 Ph: (650) 793-4642 |
| NPI Number | 1174380539 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174380539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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