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1477204865
MATTHEW VAN PELT
ALAMEDA, CA
NPI
1477204865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 139825)
Enumeration Date
2022-01-17
Last Update Date
2023-07-30
Business Address
MATTHEW VAN PELT
564 CENTRAL AVE APT 124
ALAMEDA, CA 94501-3749
Phone number: 510-859-4448
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Mailing Address
MATTHEW VAN PELT
564 CENTRAL AVE APT 124
ALAMEDA, CA 94501-3749
Phone number: 310-804-5330
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