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Elizabeth Stolz Kughn, MFT

Marriage & Family Therapist in San Rafael, CA. Individual provider (NPI-1).

NPI number1750466751
StatusActive
Last updated in NPPESSep 10, 2009

Details

NPI
1750466751
Entity type
Individual (NPI-1)
Name
Mrs. Elizabeth Stolz Kughn
Credential
MFT
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 26, 2006
Last updated
Sep 10, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist36942CAYes

Practice location

1634 5th Ave
San Rafael, CA 94901-1809

Phone 415-721-4555

Mailing address

1634 5th Ave
San Rafael, CA 94901-1809

Phone 415-721-4555

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Marriage & Family Therapist providers in San Rafael, CA

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