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MARY JO AHLBORN M.A., MFT

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

Registrant NPI Number: 1396994752

Individual Registrant:
 MARY JO  AHLBORN M.A., MFT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1708 SHATTUCK AVE  BERKELEY, CA 94709-1700 US
Tel: 415-388-8443  Fax: --

Contact information for business:
1708 SHATTUCK AVE  BERKELEY, CA 94709-1700 US
Tel: 415-388-8443  Fax: --

Registration Information:
NPI: 1396994752
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC30765

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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