Individual provider · Type 1 NPI
Susan Marie Woolf, MFT INTERN
Mental Health Counselor · Richmond, CA
NPI number
1760520563
Active
Practice location
4175 Lakeside Dr, Suite 110
Richmond, CA 94806-5774
Fax (510) 222-7085
Mailing address
1221 Talbot Ave
Berkeley, CA 94706-2335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 51539 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1760520563
Susan Marie Woolf, MFT INTERN's National Provider Identifier is 1760520563, issued on Feb 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, CA. The record was last updated on Jul 8, 2007.