Provider Demographics
NPI:1316978216
Name:THELANDER, MARGO KAREN (MS, CGC)
Entity type:Individual
Prefix:MS
First Name:MARGO
Middle Name:KAREN
Last Name:THELANDER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 SANTA LUCIA DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2338
Mailing Address - Country:US
Mailing Address - Phone:925-941-4092
Mailing Address - Fax:
Practice Address - Street 1:177 LA CASA VIA
Practice Address - Street 2:SUITE 1
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-6101
Practice Address - Country:US
Practice Address - Phone:925-674-2581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS