Individual
BEN MOLTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT-I
Contact information
Practice address
248 REDWOOD RD, SAN ANSELMO, CA 94960-2736
(415) 370-5129
Mailing address
248 REDWOOD RD, SAN ANSELMO, CA 94960-2736
(415) 370-5129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APPLICANT
CA
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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