Carol Lee Duke, LMFT

Individual provider Active NPI Marriage & Family Therapist · Sausalito, CA

NPI 1922497452 · NPPES record last updated Jan 21, 2015

Key facts

NPI
1922497452
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC31320 (CA)
Practice address
3030 Bridgeway
Sausalito, CA 94965-2810
Phone
(415) 332-0333
NPI assigned
Jan 21, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC31320CAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC31320 CA
Marriage & Family Therapist 106H00000X MFC31320 CA Yes

Addresses

Primary practice location

3030 Bridgeway
Sausalito, CA 94965-2810

Mailing address

3030 Bridgeway
Sausalito, CA 94965-2810
Phone (415) 332-0333

Other providers in Sausalito, CA

All providers in Sausalito, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.