Individual
ANTOINETTE MARY MAITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1844 SAN MIGUEL DR, SUITE 306A, WALNUT CREEK, CA 94596-4962
(925) 788-8538
Mailing address
1844 SAN MIGUEL DR, SUITE 306A, WALNUT CREEK, CA 94596-4962
(925) 788-8538
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC32941
CA
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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