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Organization
MINDFUL CHILD & FAMILY THERAPY, INC
Active
Organization
MINDFUL CHILD & FAMILY THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE IZZARELLI (ACCOUNT MANAGER)
(650) 297-3400
Entity
Organization
Contact information
Practice address
851 FREMONT AVE STE 210, LOS ALTOS, CA 94024-5602
(650) 297-3400
(650) 897-1005
Mailing address
PO BOX 3156, HALF MOON BAY, CA 94019-3156
(650) 297-3400
(650) 897-1005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/30/2018
Last updated
09/07/2026
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