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DR. OLIVIA DENNIS HEATHCOTE MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1982879037

Individual Registrant:
DR. OLIVIA DENNIS HEATHCOTE MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
45 ELLENWOOD AVE  LOS GATES, CA 95030-5221 US
Tel: 408-920-2990  Fax: 408-354-1504

Contact information for business:
45 ELLENWOOD AVE  LOS GATES, CA 95030-5221 US
Tel: 408-920-2990  Fax: 408-354-1504

Registration Information:
NPI: 1982879037
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC34321

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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