Ilene Malt

NPI 1922211036 · on the registry since 2007 · sole proprietor

Practice

Address: 1330 Lincoln Ave
Suite 307
San Rafael, CA 94901
Phone: (415) 454-2734
Fax: (415) 454-2734
Organisation at this address: Dba Nancy Freitas Lambert Psyd
Essential Life Family Therapy, Inc.
Community Institute For Psychotherapy
Community Institute For Psychotherapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 154

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California