Provider Demographics
NPI:1871305284
Name:LAURA SINIEGO MARRIAGE AND FAMILY THERAPIST CORPORATION
Entity type:Organization
Organization Name:LAURA SINIEGO MARRIAGE AND FAMILY THERAPIST CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:SINIEGO
Authorized Official - Last Name:ARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:650-477-6750
Mailing Address - Street 1:120 ARBOR CT
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-2615
Mailing Address - Country:US
Mailing Address - Phone:650-477-6750
Mailing Address - Fax:
Practice Address - Street 1:120 ARBOR CT
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-2615
Practice Address - Country:US
Practice Address - Phone:650-477-6750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)