Individual
MS. CHRISULA T ASIMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
23 OAKWOOD DR, SAN RAFAEL, CA 94901-1133
(415) 457-0230
Mailing address
23 OAKWOOD DR, SAN RAFAEL, CA 94901-1133
(415) 457-0230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
12/05/2011
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