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Organization
WELLSPRING PSYCHOTHERAPY CENTER
Active
Organization
WELLSPRING PSYCHOTHERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMONE RODIN PH.D. (DIRECTOR)
(415) 458-3358
Entity
Organization
Contact information
Practice address
30 N SAN PEDRO RD STE 290, SAN RAFAEL, CA 94903-4133
(415) 458-3358
Mailing address
30 N SAN PEDRO RD STE 290, SAN RAFAEL, CA 94903-4133
(415) 458-3358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14624
CA
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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