# BERKELEY HOLISTIC THERAPY, A MARRIAGE AND FAMILY THERAPY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932799111
- **Authorized official:** JESSICA VECHAKUL (PRESIDENT)
- **Authorized official phone:** (510) 316-2503

## Contact information

- **Practice address:** 1500 RUSSELL ST, BERKELEY, CA 94703-2020
- **Practice address phone:** (510) 545-3350
- **Mailing address:** 2342 SHATTUCK AVE UNIT 879, BERKELEY, CA 94704-1517
- **Mailing address phone:** (510) 545-3360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2021
- **Last updated:** 01/21/2021