Individual
ANDREW SETH KUSHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-2000
Mailing address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
75595
CA
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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