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Organization
BERKELEY HOLISTIC THERAPY, A MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Organization
BERKELEY HOLISTIC THERAPY, A MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA VECHAKUL (PRESIDENT)
(510) 316-2503
Entity
Organization
Contact information
Practice address
1500 RUSSELL ST, BERKELEY, CA 94703-2020
(510) 545-3350
Mailing address
2342 SHATTUCK AVE UNIT 879, BERKELEY, CA 94704-1517
(510) 545-3360
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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