Individual
MISS AMY ELISE BIESEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MFTI
Contact information
Practice address
914 MISSION AVE, SAN RAFAEL, CA 94901-6106
(415) 457-6964
Mailing address
40 STUYVESANT DR, SAN ANSELMO, CA 94960-1141
(415) 459-5095
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
44501
CA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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