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Individual

ANGELIQUE BERENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1480 LINCOLN AVE STE 8, SAN RAFAEL, CA 94901-2085
(415) 456-7724
(415) 456-1050
Mailing address
1480 LINCOLN AVE STE 8, SAN RAFAEL, CA 94901-2085

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/19/2007
Last updated
07/19/2007
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