Esme Irene Gordon MFT

NPI 1073676334 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1073676334
Gender Female
Enumeration Date 12/18/2006
Last Updated 07/10/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL CA, 94903-3680, US
Phone (415) 491-5700
Fax (415) 491-5750
Business Location
555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL CA, 94903-3680, US
Phone (415) 491-5700
Fax (415) 491-5750
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC 37886
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According to our database, Esme Irene Gordon MFT NPI is 1073676334, taxonomy code is 106H00000X and license number is MFC 37886, license state is located at California. Esme Irene Gordon MFT physically located at 555 Northgate Dr, San Rafael CA, 94903-3680. NPI Number Esme Irene Gordon MFT has the Individual type.

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1073676334 NPI number is provided on an as is basis without warranty of any kind. 1073676334 is maintained by the National Plan & Provider Enumeration System. The contents of Esme Irene Gordon MFT are for informational purposes only.