Organization
SEA CHANGE PSYCHOTHERAPY INCORPORATED
Active
Organization
SEA CHANGE PSYCHOTHERAPY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA L KLINE PSYD (PRESIDENT AD CEO)
(415) 967-2025
Entity
Organization
Contact information
Practice address
164 DONAHUE ST, SAUSALITO, CA 94965
(415) 967-2025
Mailing address
203 FLAMINGO RD #209, MILL VALLEY, CA 94941-4149
(415) 987-1187
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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