Eileen Marie Van Tyne, LMFT
Counselor, Mental Health in Berkeley, CA. Individual provider (NPI-1).
NPI number1972377331
StatusActive
Last updated in NPPESNov 7, 2023
Details
- NPI
- 1972377331
- Entity type
- Individual (NPI-1)
- Name
- Eileen Marie Van Tyne
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2023
- Certification date
- Nov 7, 2023
- Last updated
- Nov 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 140692 | CA | Yes |
Practice location
3099 Telegraph AveBerkeley, CA 94705-2035
Phone 415-275-2507
Mailing address
3099 Telegraph AveBerkeley, CA 94705-2035
Phone 415-275-2507
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