Patricia D Hallenbeck MFT

NPI 1053302687 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1053302687
Gender Female
Enumeration Date 11/02/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
159 KENTUCKY ST
STE 10
PETALUMA CA, 94952-2305, US
Phone (707) 769-1461
Fax
Business Location
159 KENTUCKY ST
STE 10
PETALUMA CA, 94952-2305, US
Phone (707) 769-1461
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC26017
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According to our database, Patricia D Hallenbeck MFT NPI is 1053302687, taxonomy code is 106H00000X and license number is MFC26017, license state is located at California. Patricia D Hallenbeck MFT physically located at 159 Kentucky St, Petaluma CA, 94952-2305. NPI Number Patricia D Hallenbeck MFT has the Individual type.

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1053302687 NPI number is provided on an as is basis without warranty of any kind. 1053302687 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia D Hallenbeck MFT are for informational purposes only.