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Organization
AN INDIVIDUAL MARRIAGE AND RELATIONSHIP THERAPY CORPORATION
Active
Organization
AN INDIVIDUAL MARRIAGE AND RELATIONSHIP THERAPY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE PERI SUTTON LMFT (CEO/OWNER)
(650) 762-5284
Entity
Organization
Contact information
Practice address
1015 SHORELINE DR, SAN MATEO, CA 94404-2047
(650) 762-5284
Mailing address
1015 SHORELINE DR, SAN MATEO, CA 94404-2047
(410) 459-5024
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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