Individual
MISS EMILY KATHRYN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(415) 256-9995
Mailing address
1664 CREEKVIEW CIR, PETALUMA, CA 94954-2362
(415) 939-9101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/05/2013
Last updated
05/14/2019
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