| Petaluma Family Therapy Inc | |
|
1496 Professional Dr Ste 602 Petaluma CA 94954-6698 | |
| (707) 772-5085 | |
| Not Available |
| Full Name | Petaluma Family Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1496 Professional Dr Ste 602, Petaluma, California |
| Authorized Official Name and Position | Marcus Moore (OWNER) |
| Authorized Official Contact | 7077725085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petaluma Family Therapy Inc 1496 Professional Dr Ste 602 Petaluma CA 94954-6698 Ph: (707) 772-5085 | Petaluma Family Therapy Inc 1496 Professional Dr Ste 602 Petaluma CA 94954-6698 Ph: (707) 772-5085 |
| NPI Number | 1568911964 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 07/31/2025 |
| Certification Date | 07/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568911964 | NPI | - | NPPES |
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