Individual provider · Type 1 NPI

Maureen D. Perriello, MFTI

Counselor · San Pablo, CA

NPI number 1063531499 Active

Practice location

2853 Groom Dr
San Pablo, CA 94806-2664

Call (510) 812-4700 Map

Fax (510) 222-3986

Mailing address

2292 Clearview Cir
Benicia, CA 94510-2064

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XIMF 49694 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063531499

Maureen D. Perriello, MFTI's National Provider Identifier is 1063531499, issued on Mar 28, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Pablo, CA. The record was last updated on Jul 8, 2007.