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Organization
THE CHILD THERAPY INSTITUTE OF MARIN
Active
Organization
THE CHILD THERAPY INSTITUTE OF MARIN
Active
Other names
Washington Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LUKAS PHD (EXECUTIVE DIRECTOR)
(415) 456-7724
Entity
Organization
Contact information
Practice address
2300 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-1412
(510) 644-6310
Mailing address
1480 LINCOLN AVE STE 8, SAN RAFAEL, CA 94901-2085
(415) 456-7724
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
05/20/2025
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