Organization
THE RELATIONSHIP CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ETHEL M MOSTREL MA, LMFT (MARRIAGE FAMILY THERAPIST)
(650) 799-1375
Entity
Organization
Contact information
Practice address
415 CAMBRIDGE AVE, SUITE 7, PALO ALTO, CA 94306-1600
(650) 799-1375
Mailing address
139 REDLAND RD, WOODSIDE, CA 94062-3732
(650) 799-1375
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MFT 27981
CA
273R00000X
Psychiatric Hospital Unit
Primary
MFT 27981
CA
283Q00000X
Psychiatric Hospital
MFT 27981
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT 27981
MARRIAGE FAMILY THERAPIST LICENSE
CA
Enumeration date
09/23/2015
Last updated
09/23/2015
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