Tessamarie Rw Capitolo MFT

NPI 1073892741 - Counselor - 101YM0800X

NPI Details
NPI 1073892741
Gender Female
Enumeration Date 08/11/2011
Last Updated 08/11/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1480 LINCOLN AVE STE 4
SAN RAFAEL CA, 94901-2085, US
Phone (415) 456-4448
Fax (415) 479-7144
Business Location
1480 LINCOLN AVE STE 4
SAN RAFAEL CA, 94901-2085, US
Phone (415) 456-4448
Fax (415) 479-7144
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number 021252
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According to our database, Mrs. Tessamarie Rw Capitolo MFT NPI is 1073892741, taxonomy code is 101YM0800X and license number is 021252, license state is located at California. Tessamarie Rw Capitolo MFT physically located at 1480 Lincoln Ave Ste 4, San Rafael CA, 94901-2085. NPI Number Tessamarie Rw Capitolo MFT has the Individual type.

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1073892741 NPI number is provided on an as is basis without warranty of any kind. 1073892741 is maintained by the National Plan & Provider Enumeration System. The contents of Tessamarie Rw Capitolo MFT are for informational purposes only.