Organization
RENEWAL RESOURCES
Active
Organization
RENEWAL RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA THORSON LMFT (DIRECTOR)
(408) 420-7895
Entity
Organization
Contact information
Practice address
858 UNIVERSITY AVE, LOS ALTOS, CA 94024-4637
(408) 420-7895
Mailing address
858 UNIVERSITY AVE, LOS ALTOS, CA 94024-4637
(408) 420-7895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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