East Bay Family Therapy
East Bay Family Therapy provides Psychologist services in Walnut Creek, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
1600 S Main St Ste 225Walnut Creek, CA 94596-5340 Not confirmed with CMS for 15 years — call before visiting
Phone: (925) 325-5022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence PSY21734 (CA) |
|---|
Record details
| NPI number | 1952684763 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marc Komori Stager — Owner · (925) 325-5022 |
| NPI enumerated | September 28, 2011 |
| Last updated in NPPES | September 28, 2011 |
| Mailing address | 1600 S Main St, Suite 225, Walnut Creek, CA 94596-5340 |
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