Willow Family Therapy Inc

NPI 1013159631 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1013159631
Enumeration Date 03/27/2009
Last Updated 03/27/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name STEPHANIE P STEPHANIE
Position DIRECTOR
Phone (650) 355-0841
Fax
Practice Location
80 EUREKA SQ
SUITE 216
PACIFICA CA, 94044-2654, US
Phone (650) 355-0841
Fax
Business Location
80 EUREKA SQ
SUITE 216
PACIFICA CA, 94044-2654, US
Phone (650) 355-0841
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC40528
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According to our database, Willow Family Therapy Inc NPI is 1013159631, taxonomy code is 106H00000X and license number is MFC40528, license state is located at California. Willow Family Therapy Inc physically located at 80 Eureka Sq, Pacifica CA, 94044-2654. NPI Number 1033115704 has the healthcare provider type.

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1013159631 NPI number is provided on an as is basis without warranty of any kind. 1013159631 is maintained by the National Plan & Provider Enumeration System. The contents of Willow Family Therapy Inc are for informational purposes only.