| Mary Good Lmft 97461 | |
|
5796 Blank Rd Sebastopol CA 95472-6114 | |
| (415) 552-6446 | |
| Not Available |
| Full Name | Mary Good Lmft 97461 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5796 Blank Rd, Sebastopol, California |
| Authorized Official Name and Position | Mary Good (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4155526446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Good Lmft 97461 Po Box 912 Sebastopol CA 95473-0912 Ph: () - | Mary Good Lmft 97461 5796 Blank Rd Sebastopol CA 95472-6114 Ph: (415) 552-6446 |
| NPI Number | 1225573835 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225573835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LMFT 97461 (California) | Primary |
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