Provider Demographics
NPI:1124442512
Name:ESTEE GOREN, MARRIAGE COUNSELING AND FAMILY THERAPY, INC.
Entity type:Organization
Organization Name:ESTEE GOREN, MARRIAGE COUNSELING AND FAMILY THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GOREN
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:925-399-1177
Mailing Address - Street 1:425 EL PINTADO RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-1848
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:425 EL PINTADO RD
Practice Address - Street 2:SUITE 101
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-1848
Practice Address - Country:US
Practice Address - Phone:925-399-1177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty