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MAITE ACEDO MFT

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

Registrant NPI Number: 1275633182

Individual Registrant:
 MAITE  ACEDO MFT
Gender: F
Sole Proprietor

Location and contact information for practice:
500 TAMAL PLZ STE 529  CORTE MADERA, CA 94925 US
Tel: 415-786-7296  Fax: --

Contact information for business:
500 TAMAL PLZ STE 529  CORTE MADERA, CA 94925-1187 US
Tel: 415-786-7296  Fax: --

Registration Information:
NPI: 1275633182
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFT40943

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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