Individual provider · Type 1 NPI

Astrid Koltun

Marriage & Family Therapist · San Rafael, CA

NPI number 1447782115 Active

Practice location

1330 Lincoln Avenue, Suite #201
San Rafael, CA 99401

Mailing address

12 Penny Ln
Fairfax, CA 94930-1319

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X9330947 (CA)
Marriage & Family Therapist Primary 106H00000X123302 (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 1447782115

Astrid Koltun's National Provider Identifier is 1447782115, issued on Mar 31, 2017. 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 Mar 14, 2024.