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1417595091
ELLEN DURST
BERKELEY, CA
NPI
1417595091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2019-12-14
Last Update Date
2019-12-14
Business Address
ELLEN DURST
2105 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704-1108
Phone number: 510-524-8288
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Mailing Address
ELLEN DURST
2105 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704-1108
Phone number: 510-524-8288
Copy
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