Organization
GRACE JEBARA MARRIAGE THERAPY INC
Active
Other names
Goodness with Dr. manu
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL A MANOTAS PSY.D (SECRETARY)
(415) 891-9562
Entity
Organization
Contact information
Practice address
2169 UNION ST # 3, SAN FRANCISCO, CA 94123-4003
(415) 891-9562
Mailing address
6 SNOWDEN LN, FAIRFAX, CA 94930-1029
(415) 891-9562
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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