Carol Michelson MFT

NPI 1093800799 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1093800799
Gender Female
Enumeration Date 10/04/2006
Last Updated 10/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
900 FIFTH AVENUE
SUITE 203
SAN RAFAEL CA, 94901-6106, US
Phone (415) 496-5496
Fax
Business Location
900 FIFTH AVENUE
SUITE 203
SAN RAFAEL CA, 94901-6106, US
Phone (415) 496-5496
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 49430
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According to our database, Carol Michelson MFT NPI is 1093800799, taxonomy code is 106H00000X and license number is 49430, license state is located at California. Carol Michelson MFT physically located at 900 Fifth Avenue, San Rafael CA, 94901-6106. NPI Number Carol Michelson MFT has the Individual type.

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1093800799 NPI number is provided on an as is basis without warranty of any kind. 1093800799 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Michelson MFT are for informational purposes only.