Individual
EDNA AVRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
205 E 3RD AVE STE 308, SAN MATEO, CA 94401-4052
(650) 579-7153
Mailing address
347 CASTILIAN WAY, SAN MATEO, CA 94402-2325
(650) 773-2460
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
MA20840
CA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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