Individual
ANDREA BOHMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IMF
Contact information
Practice address
2245 BACON ST, CONCORD, CA 94520-2021
(925) 827-3857
Mailing address
4903 KELLER RIDGE DR, CLAYTON, CA 94517-1915
(858) 243-8444
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
70948
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
09/06/2013
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