Marin, John J

Marin, John J is an sole proprietor health care provider with primary practice located at 3080 La Selva St , San Mateo CA 94403-2109. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Marin, John J can be contacted via phone (650) 573-2944.

Contact Information

Primary practice address
3080 La Selva St San Mateo CA 94403-2109
Phone: (650) 573-2944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC40656 California

Profile Details

NPI number 1326103300
LBN Legal business name Marin, John J
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326103300 NPPES
California MEDICAID 60110

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