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Diane Elizabeth Shrock, LMFT

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

NPI number1861693574
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1861693574
Entity type
Individual (NPI-1)
Name
Ms. Diane Elizabeth Shrock
Credential
LMFT
Sex
Female
Sole proprietor
Yes
Enumeration date
May 30, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistMFC33832CAYes

Practice location

320 Western Ave
Petaluma, CA 94952-2919

Phone 707-566-7712 · Fax 707-829-3170

Mailing address

2817 Claremont Dr
Santa Rosa, CA 95405-6868

Phone 707-566-7123 · Fax 707-829-3170

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