Individual
MRS. MARIA LUCILA ECHEVERRIA-BUSTIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT I
Contact information
Practice address
1911 IVY ST., SAN MATEO, CA 94403
(650) 787-3861
Mailing address
1911 IVY ST, SAN MATEO, CA 94403-1323
(650) 787-3861
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61783
CA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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