JOHN JACK SHIELDS COUSINEAU

MARTINEZ, CA
NPI1548570583
Former NameJACK SHIELDS COUSINEAU
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT90191)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  90191)
Enumeration Date2010-10-08
Last Update Date2025-02-05
Business Address
Mr. JOHN JACK SHIELDS COUSINEAU LMFT
1340 ARNOLD DR STE 200
MARTINEZ, CA 94553-4189
Phone number: 510-809-7350
Mailing Address
Mr. JOHN JACK SHIELDS COUSINEAU LMFT
PO BOX 2378
BERKELEY, CA 94702-0378
Phone number: 626-710-7915
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