| Marin Youth Therapy Inc. | |
|
101 Meadow Way San Geronimo CA 94963 | |
| (707) 834-4078 | |
| Not Available |
| Full Name | Marin Youth Therapy Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 101 Meadow Way, San Geronimo, California |
| Authorized Official Name and Position | Kiersten Kotaka (PRESIDENT) |
| Authorized Official Contact | 7078344078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marin Youth Therapy Inc. Po Box 193 San Geronimo CA 94963-0193 Ph: (707) 834-4078 | Marin Youth Therapy Inc. 101 Meadow Way San Geronimo CA 94963 Ph: (707) 834-4078 |
| NPI Number | 1326633702 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/08/2021 |
| Certification Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326633702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Somatic Family Therapy Of Marin, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 San Geronimo Valley Drive, San Geronimo, CA 94963 Phone: 415-521-0799 |