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Organization
THE CHILD THERAPY INSTITUTE OF MARIN
Active
Organization
THE CHILD THERAPY INSTITUTE OF MARIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LUKAS PHD (EXECUTIVE DIRECTOR)
(415) 456-7724
Entity
Organization
Contact information
Practice address
3720 SUNSET LN STE D, ANTIOCH, CA 94509-6124
(415) 456-7724
Mailing address
1480 LINCOLN AVE STE 8, SAN RAFAEL, CA 94901-2085
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/30/2011
Last updated
05/20/2025
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