Alva Ackley MFT

NPI 1750535738 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1750535738
Gender Female
Enumeration Date 11/04/2008
Last Updated 11/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1050 NORTHGATE DR
SUITE P. 12
SAN RAFAEL CA, 94903-2526, US
Phone (415) 454-8218
Fax
Business Location
1050 NORTHGATE DR
SUITE P. 12
SAN RAFAEL CA, 94903-2526, US
Phone (415) 454-8218
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 29428
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According to our database, Ms. Alva Ackley MFT NPI is 1750535738, taxonomy code is 106H00000X and license number is 29428, license state is located at California. Alva Ackley MFT physically located at 1050 Northgate Dr, San Rafael CA, 94903-2526. NPI Number Alva Ackley MFT has the Individual type.

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1750535738 NPI number is provided on an as is basis without warranty of any kind. 1750535738 is maintained by the National Plan & Provider Enumeration System. The contents of Alva Ackley MFT are for informational purposes only.