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Individual provider · Marriage & Family Therapist · El Cerrito, CA

NPI
1760084792
Type
Individual (Type 1)
Primary specialty
Marriage & Family Therapist
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
106H00000X
License number
AMFT123621 (CA)
Sex
Male
Sole proprietor
No
Enumerated
2020-11-13
Last updated
2021-01-04
Practice location
11175 San Pablo Ave
El Cerrito, CA 94530-2157
(510) 559-5550

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