Organization
INSPIRED LIVES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARRIE MARIE STAFFORD MFT (MARRIAGE AND FAMILY THERAPIST)
(659) 273-3293
Entity
Organization
Contact information
Practice address
2309 PALMETTO AVE, C1, PACIFICA, CA 94044-2736
(650) 273-3293
Mailing address
2309 PALMETTO AVE, C1, PACIFICA, CA 94044-2736
(650) 273-3293
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC 45739
CA
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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