Counseling Associates Of Marin, A Lcsw Organization

NPI Registration Record

Provider / Organization	NPI	Date Certified
COUNSELING ASSOCIATES OF MARIN, A LCSW ORGANIZATION	1639768344	2021-01-16

The organization Counseling Associates Of Marin, A Lcsw Organization is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1639768344. Registration indicates Counseling Associates Of Marin, A Lcsw Organization is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )

Entity Type	Organization

Provider Organization	COUNSELING ASSOCIATES OF MARIN, A LCSW ORGANIZATION
Practice Office Address	240 MILLER AVE STE C MILL VALLEY, CA US
Practice Office Telephone	4159469428
Mailing Address	145 CORTE MADERA TOWN CTR # 124 CORTE MADERA, CA 949251209 US
Business Telephone	4159369428
Authorized Official	LISA ROBERTSON VEYSSIERE, OWNER 4159369428

HPT Codes

Code	Practice	License No State
1041C0700X PRIMARY	Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker
193400000X SING		Group Code

OPI Codes

1891171971

MEDICAID

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