An Individual Marriage and Relationship Therapy Corporation
An Individual Marriage and Relationship Therapy Corporation is a Mental Health Clinic/Center (Including Community Mental Health Center) in San Mateo, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1015 Shoreline DrSan Mateo, CA 94404-2047
Phone: (650) 762-5284
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Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1225765787 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeanne Sutton — Ceo/Owner · (650) 762-5284 |
| NPI enumerated | August 4, 2022 |
| Last updated in NPPES | August 4, 2022 |
| Certification date | August 4, 2022 |
| Mailing address | 1015 Shoreline Dr, San Mateo, CA 94404-2047 |
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