Larry Fritzlan Recovery Services, INC.
Counselor, Mental Health in Corte Madera, CA. Organization (NPI-2).
NPI number1154752012
StatusActive
Last updated in NPPESDec 3, 2013
Details
- NPI
- 1154752012
- Entity type
- Organization (NPI-2)
- Legal business name
- Larry Fritzlan Recovery Services, INC.
- Organization subpart
- No
- Enumeration date
- Dec 3, 2013
- Last updated
- Dec 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
21 Tamal Vista BlvdSuite 226
Corte Madera, CA 94925-1130
Phone 415-945-0923
Mailing address
21 Tamal Vista BlvdSuite 226
Corte Madera, CA 94925-1130
Authorized official
Larry Fritzlan
Owner
4159450923
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