JACK SHIELDS COUSINEAU

ANTIOCH, CA
NPI1548570583
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT90191)
Enumeration Date2010-10-08
Last Update Date2018-10-15
Business Address
Mr. JACK SHIELDS COUSINEAU LMFT
3700 DELTA FAIR BLVD STE 201A
ANTIOCH, CA 94509-4073
Phone number: 510-809-7350
Mailing Address
Mr. JACK SHIELDS COUSINEAU LMFT
PO BOX 697
HAYWARD, CA 94543-0697
Phone number: 626-710-7915
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