MEDICARE: ESTHER GOREN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1164757472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER GOREN

Provider Business Mailing Address
First Line	:	1031 MCCAULEY RD
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-1972
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 HARTZ WAY
Second Line	:	SUITE 205A
City	:	DANVILLE
State	:	CA
Zip	:	94526-3433
Country	:	US
Telephone Number	:	925-399-1177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2009
Last Update Date	:	02/03/2014

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Directions to “ ESTHER GOREN ” Practice Location

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