Convergent Brain Diagnostics
Convergent Brain Diagnostics is a Marriage & Family Therapist in El Dorado Hills, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4359 Town Center Blvd Ste 217El Dorado Hills, CA 95762-7113
Phone: (916) 836-0036
Fax: (916) 345-7950
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1902550445 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maryjo Brooks-Motl — Vice President/Clinical Director · (916) 836-0036 |
| Other names | Motlmd |
| NPI enumerated | February 3, 2022 |
| Last updated in NPPES | February 3, 2022 |
| Certification date | February 3, 2022 |
| Mailing address | 4359 Town Center Blvd Ste 217, El Dorado Hills, CA 95762-7113 |
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