Robert J Dalzell MFT

NPI 1649342700 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1649342700
Gender Male
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7 4TH ST
SUITE 10
PETALUMA CA, 94952-3043, US
Phone (707) 765-1009
Fax (707) 765-1009
Business Location
7 4TH ST
SUITE 10
PETALUMA CA, 94952-3043, US
Phone (707) 765-1009
Fax (707) 765-1009
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC29489
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According to our database, Robert J Dalzell MFT NPI is 1649342700, taxonomy code is 106H00000X and license number is MFC29489, license state is located at California. Robert J Dalzell MFT physically located at 7 4th St, Petaluma CA, 94952-3043. NPI Number Robert J Dalzell MFT has the Individual type.

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1649342700 NPI number is provided on an as is basis without warranty of any kind. 1649342700 is maintained by the National Plan & Provider Enumeration System. The contents of Robert J Dalzell MFT are for informational purposes only.