Organization · NPI-2

Maria Rivas-Wolf, Licensed Marriage And Family Therapist INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · San Carlos, CA

NPI number1235846932
StatusActive
Last updated in NPPESNov 2, 2022

Details

NPI
1235846932
Entity type
Organization (NPI-2)
Legal business name
Maria Rivas-Wolf, Licensed Marriage And Family Therapist INC.
Organization subpart
No
Enumeration date
Nov 2, 2022
Certification date
Nov 2, 2022
Last updated
Nov 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1209 Eaton Ave Ste 1
San Carlos, CA 94070-5234

Phone 650-208-9815

Mailing address

1209 Eaton Ave Ste 1
San Carlos, CA 94070-5234

Phone 650-208-9815

Authorized official

Maria Rivas-Wolf
Owner
6502089815

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