Individual provider · Type 1 NPI

Ellen Durst

Mental Health Counselor · Berkeley, CA

NPI number 1417595091 Active

Practice location

2105 Martin Luther King Jr Way
Berkeley, CA 94704-1108

Call (510) 524-8288 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417595091

Ellen Durst's National Provider Identifier is 1417595091, issued on Dec 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berkeley, CA. The record was last updated on Dec 14, 2019.