Organization
CHILD THERAPY INSTITUTE OF MARIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCELLE HOEFNAGELS (OFFICE MANAGER)
(415) 456-7724
Entity
Organization
Contact information
Practice address
230 GRAND AVE STE 303, OAKLAND, CA 94610-4559
(415) 456-7724
Mailing address
1480 LINCOLN AVE STE 8, SAN RAFAEL, CA 94901-2085
(415) 456-7724
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
01/13/2026
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