Individual
MARY PAT KILLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
856 14TH AVE, MENLO PARK, CA 94025-1912
(650) 395-8045
Mailing address
856 14TH AVE, MENLO PARK, CA 94025-1912
(650) 575-1104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L007506
CA
101YP2500X
Professional Counselor
Primary
L007506
CA
Other
Enumeration date
10/02/2012
Last updated
09/06/2023
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