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Individual

ANGELA M FRANCO GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 SUNNYHILLS DR, SAN ANSELMO, CA 94960-1909
(415) 457-3200
(415) 456-4679
Mailing address
1600 LINCOLN VILLAGE CIR APT 2313, LARKSPUR, CA 94939-1669

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary
108835
CA
106H00000X
Marriage & Family Therapist
IMF 12345
CA

Other

Enumeration date
10/22/2010
Last updated
10/01/2018
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