Organization · NPI-2

Bay Area Gestalt Institute

Marriage & Family Therapist · Mountain View, CA

NPI number1437580073
StatusActive
Last updated in NPPESJan 22, 2014

Details

NPI
1437580073
Entity type
Organization (NPI-2)
Legal business name
Bay Area Gestalt Institute
Organization subpart
No
Enumeration date
Dec 9, 2013
Last updated
Jan 22, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist–CAYes

Other names

  • Bagi (Other Name)

Practice location

255 Easy St
Suite 13
Mountain View, CA 94043-3763

Phone 415-689-6422

Mailing address

255 Easy St
Suite 13
Mountain View, CA 94043-3763

Phone 415-689-6422

Authorized official

Lucanna Grey
Director
4156896422

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