Edgar Carl De van IV, MFTINTERN/TRAINEE
Edgar Carl De van IV, MFTINTERN/TRAINEE is a Mental Health Counselor in San Rafael, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
555 Northgate Dr Family Service Agency Of MarinSan Rafael, CA 94903-3680
Phone: (415) 491-5700
Fax: (415) 491-5750
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1578756599 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MFTINTERN/TRAINEE |
| Sole proprietor | No |
| NPI enumerated | August 22, 2007 |
| Last updated in NPPES | August 22, 2007 |
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