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

Psychotherapist Coach a Marriage and Family Therapist Corporation

Organization Marriage & Family Therapist · NPI 1114704228

Psychotherapist Coach a Marriage and Family Therapist Corporation is a Marriage & Family Therapist in South San Francisco, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

534 Avalon Dr
South San Francisco, CA 94080-5558
Phone: (805) 807-3574
Fax: (415) 614-4206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1114704228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynndal Daniels — Ceo/President · (415) 712-2328
NPI enumeratedSeptember 12, 2023
Last updated in NPPESNovember 1, 2025
Certification dateNovember 1, 2025
Mailing address534 Avalon Dr, South San Francisco, CA 94080-5558

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