Individual
AMY ALLERHEILIGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
50 OAK SHADE LN, NOVATO, CA 94945-3429
(415) 897-4767
Mailing address
50 OAK SHADE LN, NOVATO, CA 94945-3429
(415) 897-4767
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
45442
CA
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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