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General NPI Number Information
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NPI Number | 1801437736
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Entity Type | Organization
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Legal Business Name | JUDITH WESTON-THOMPSON LICENSED MARRIAGE AND FAMILY THERAPIST PC
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 700 E ST STE 205
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2782
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Country | US
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Telephone | 415-457-3800
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Fax | 866-849-0672
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Provider Business Mailing Address
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Address Line | 68 MARGARITA TER
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City | NOVATO
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State | CA
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Zip | 94947-4732
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Country | US
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Telephone | 415-699-4058
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Fax | 866-849-0672
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Authorized Official
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Title or Position | OWNER
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Name | JUDY WESTON-THOMPSON
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Credential | LMFT
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Telephone | 415-699-4058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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