Individual
AMY NICOLE URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 SMITH RANCH RD, SAN RAFAEL, CA 94903
(415) 491-3000
Mailing address
111 SMITH RANCH RD, SAN RAFAEL, CA 94903-1939
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/26/2011
Last updated
07/25/2019
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