Healthcare Provider Details

I. General information

NPI: 1154247492
Provider Name (Legal Business Name): SOMATIC FAMILY THERAPY OF MARIN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 SAN GERONIMO VALLEY DRIVE
SAN GERONIMO CA
94963
US

IV. Provider business mailing address

PO BOX 245
SAN GERONIMO CA
94963-0245
US

V. Phone/Fax

Practice location:
  • Phone: 415-521-0799
  • Fax:
Mailing address:
  • Phone: 415-521-0799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN GEREAU
Title or Position: PRESIDENT
Credential: LMFT
Phone: 415-521-0799