PHOENIX SONG

BERKELEY, CA
NPI1003583220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  109093)
Enumeration Date2021-08-25
Last Update Date2021-12-27
Business Address
PHOENIX SONG LMFT
1400 SHATTUCK AVE, STE 12 #228
BERKELEY, CA 94709-1411
Phone number: 415-545-8215
Mailing Address
PHOENIX SONG LMFT
1400 SHATTUCK AVE, STE 12 #228
BERKELEY, CA 94709-1411
Phone number: 415-545-8215
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