Organization
CHILD THERAPY INSTITUTE OF MARIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCELLE HOEFNAGELS (ADMINISTRATION)
(415) 456-7724
Entity
Organization
Contact information
Practice address
11100 SAN PABLO AVE., SUITES 204, 205, & 208, EL CERRITO, CA 94530-2100
(510) 525-6225
Mailing address
1480 LINCOLN AVE STE 8, SAN RAFAEL, CA 94901-2085
(415) 456-7724
(415) 456-1050
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
02/12/2026
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