Organization
MARY GOOD LMFT 97461
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GOOD LMFT (PSYCHOTHERAPIST)
(415) 552-6446
Entity
Organization
Contact information
Practice address
5796 BLANK RD, SEBASTOPOL, CA 95472-6114
(415) 552-6446
Mailing address
PO BOX 912, SEBASTOPOL, CA 95473-0912
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMFT 97461
CA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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