Individual provider · Type 1 NPI

Mary Altenau

Mental Health Counselor · Sebastopol, CA

NPI number 1174716039 Active

Practice location

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607

Mailing address

6 Kaden Ct
Novato, CA 94947-4613

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174716039

Mary Altenau's National Provider Identifier is 1174716039, issued on Aug 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sebastopol, CA. The record was last updated on Jul 20, 2020.