Individual
AMY JAQUES GALUSHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1500 PETALUMA BLVD S, SUITE A, PETALUMA, CA 94952-5545
(415) 686-0000
Mailing address
1500 PETALUMA BLVD S, SUITE A, PETALUMA, CA 94952-5545
(415) 686-0000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
39482
CA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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