Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Child Therapy Institute of Marin

Organization Marriage & Family Therapist · NPI 1780409219

Child Therapy Institute of Marin is a Marriage & Family Therapist in Berkeley, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1903 Berkeley Way # 5
Berkeley, CA 94704-1007
Phone: (415) 456-7724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780409219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucelle Hoefnagels — Administration · (415) 456-7724
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address1480 Lincoln Ave Ste 8, San Rafael, CA 94901-2085

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