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Organization
WALNUT CREEK CBT CLINIC
Active
Organization
WALNUT CREEK CBT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONAH LAKIN PSYD (CLINICAL DIRECTOR)
(650) 532-3666
Entity
Organization
Contact information
Practice address
1670 S AMPHLETT BLVD, SUITE 225, SAN MATEO, CA 94402-2510
(650) 532-3666
Mailing address
1670 S AMPHLETT BLVD, SUITE 225, SAN MATEO, CA 94402-2510
(650) 532-3666
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26269
CA
Other
Enumeration date
12/14/2015
Last updated
11/04/2016
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