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CHILD THERAPY INSTITUTE OF MARIN NPI 1821633348


NPI Information

NPI: 1821633348
Provider Name: CHILD THERAPY INSTITUTE OF MARIN
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
558 SAN ANSELMO AVE
SAN ANSELMO, CA
ZIP 94960
Phone: (415) 456-7724
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CHILD THERAPY INSTITUTE OF MARIN is a marriage family therapist in San Anselmo, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. CHILD THERAPY INSTITUTE OF MARIN NPI is 1821633348. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

558 SAN ANSELMO AVE
SAN ANSELMO, CA
ZIP 94960-621
Phone: (415) 456-7724
Fax: (415) 456-1050

The provider's authorized official is Sherie Shughart .
The authorized official title is Administrative Assistant and has the following contact phone number (415) 456-7724.

The enumeration date for this NPI number is 11/7/2019 and was last updated on 11/7/2019.


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
1106H00000XMarriage & Family TherapistYes

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: 5/5/2024

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