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Danielle Chantal Park

Marriage & Family Therapist in Redwood City, CA. Individual provider (NPI-1).

NPI number1124645239
StatusActive
Last updated in NPPESJan 3, 2022

Details

NPI
1124645239
Entity type
Individual (NPI-1)
Name
Danielle Chantal Park
Sex
Female
Sole proprietor
No
Enumeration date
Jul 6, 2020
Certification date
Jan 3, 2022
Last updated
Jan 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist128591CAYes
101YP2500X Counselor, Professional10398CA

Practice location

727 Shasta St
Redwood City, CA 94063-2124

Phone 650-599-1071

Mailing address

640 Epic Way Unit 189
San Jose, CA 95134-2796

Phone 408-605-8511

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