JEWISH FAMILY AND CHILDRENS SERVICES NPI 1780791020

NPI Information

NPI: 1780791020
Provider Name: JEWISH FAMILY AND CHILDRENS SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
600 5TH AVE
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 491-7960
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JEWISH FAMILY AND CHILDRENS SERVICES is a mental health counselor in San Rafael, CA. JEWISH FAMILY AND CHILDRENS SERVICES NPI is 1780791020. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 5TH AVE
SAN RAFAEL, CA
ZIP 94901-348
Phone: (415) 491-7960
Fax: (415) 491-7958

The provider's authorized official is Don Sussman .
The authorized official title is Supervisor and has the following contact phone number (650) 688-3046.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LCS11583	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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