Individual provider · Type 1 NPI

Caroline Boussenot

Marriage & Family Therapist · San Rafael, CA

NPI number 1154112019 Active

Practice location

1480 Lincoln Ave Ste 8
San Rafael, CA 94901-2085

Call (415) 456-7724 Map

Mailing address

7454 Rockway Ave
El Cerrito, CA 94530-3750

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X165856 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1154112019

Caroline Boussenot's National Provider Identifier is 1154112019, issued on May 13, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Rafael, CA. The record was last updated on Oct 6, 2026.