Edgar Carl De Van Iv, MFT INTERN/TRAINEE is a mental health counselor in San Rafael, CA. Edgar Carl De Van Iv, MFT INTERN/TRAINEE NPI is 1578756599. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA
ZIP 94903-680
Phone: (415) 491-5700
Fax: (415) 491-5750
The enumeration date for this NPI number is 8/22/2007 and was last updated on 8/22/2007.