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Organization
COUNSELING ASSOCIATES OF MARIN, A LCSW ORGANIZATION
Active
Organization
COUNSELING ASSOCIATES OF MARIN, A LCSW ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ROBERTSON VEYSSIERE LCSW (OWNER)
(415) 936-9428
Entity
Organization
Contact information
Practice address
240 MILLER AVE STE C, MILL VALLEY, CA 94941-2858
(415) 946-9428
Mailing address
145 CORTE MADERA TOWN CTR # 124, CORTE MADERA, CA 94925-1209
(415) 936-9428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891171971
—
CA
Enumeration date
01/16/2021
Last updated
01/16/2021
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