Carol Layne

NPI 1578846069 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1578846069
Gender Female
Enumeration Date 09/21/2011
Last Updated 09/21/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
120 N REDWOOD DR
EAST WING
SAN RAFAEL CA, 94903-1941, US
Phone (415) 473-3486
Fax
Business Location
2825 HILLEGASS AVE APT C
BERKELEY CA, 94705-2105, US
Phone (619) 990-1595
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 36957
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According to our database, Carol Layne NPI is 1578846069, taxonomy code is 106H00000X and license number is 36957, license state is located at California. Carol Layne physically located at 120 N Redwood Dr, San Rafael CA, 94903-1941. NPI Number Carol Layne has the Individual type.

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1578846069 NPI number is provided on an as is basis without warranty of any kind. 1578846069 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Layne are for informational purposes only.