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Organization
RD FAMILY THERAPY INC.
Active
Organization
RD FAMILY THERAPY INC.
Active
Other names
RD Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RYANN LANE DESOUZA LMFT (CEO)
(650) 720-5263
Entity
Organization
Contact information
Practice address
1150 BRICKYARD COVE RD UNIT B12, RICHMOND, CA 94801-4181
(650) 720-5263
(510) 788-5044
Mailing address
1150 BRICKYARD COVE RD UNIT B12, RICHMOND, CA 94801-4181
(650) 720-5263
(510) 788-5044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043493042
OTHER INSURERS
CA
Enumeration date
02/21/2020
Last updated
02/21/2020
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