# WILLOW FAMILY THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013159631
- **Authorized official:** STEPHANIE P ELLIOTT MFT (DIRECTOR)
- **Authorized official phone:** (650) 355-0841

## Contact information

- **Practice address:** 80 EUREKA SQ, SUITE 216, PACIFICA, CA 94044-2654
- **Practice address phone:** (650) 355-0841
- **Mailing address:** 80 EUREKA SQ, SUITE 216, PACIFICA, CA 94044-2654
- **Mailing address phone:** (650) 355-0841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC40528 | CA | Yes |

## Other

- **Enumeration date:** 03/27/2009
- **Last updated:** 03/27/2009