Organization
CENTER FOR THERAPEUTIC ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA M GLICKMAN MFT (PARTNER)
(805) 610-8729
Entity
Organization
Contact information
Practice address
625 14TH ST, SUITE B, PASO ROBLES, CA 93446-2285
(805) 876-5413
(805) 876-5412
Mailing address
625 14TH ST, SUITE B, PASO ROBLES, CA 93446-2285
(805) 876-5413
(805) 876-5412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY26358
CA
106H00000X
Marriage & Family Therapist
MFC49152
CA
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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