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Organization
ON THE MARGINS FAMILY THERAPY & PSYCHOLOGICAL SERVICES, INC.
Active
Organization
ON THE MARGINS FAMILY THERAPY & PSYCHOLOGICAL SERVICES, INC.
Active
Other names
On the Margins, On the Margins
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELA DOMINGUEZ PSYD (FOUNDER AND CHIEF EXECUTIVE OFFICER)
(415) 209-5592
Entity
Organization
Contact information
Practice address
245 KENTUCKY ST STE E, PETALUMA, CA 94952-2877
(415) 212-9064
Mailing address
245 KENTUCKY ST STE E, PETALUMA, CA 94952-2877
(415) 212-9064
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
10/24/2022
Last updated
10/03/2024
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