Expansive Therapy A Professional Clinical Counselor Corporation | |
582 Market St Ste 2002 San Francisco CA 94104-5321 | |
(415) 813-7407 | |
Not Available |
Full Name | Expansive Therapy A Professional Clinical Counselor Corporation |
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Speciality | Counselor - Mental Health |
Location | 582 Market St Ste 2002, San Francisco, California |
Authorized Official Name and Position | Nicholas Fager (OWNER/CEO) |
Authorized Official Contact | 4158137407 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Expansive Therapy A Professional Clinical Counselor Corporation 4076 17th St Apt E San Francisco CA 94114-1993 Ph: (415) 813-7407 | Expansive Therapy A Professional Clinical Counselor Corporation 582 Market St Ste 2002 San Francisco CA 94104-5321 Ph: (415) 813-7407 |
NPI Number | 1821653593 |
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Provider Enumeration Date | 05/07/2019 |
Last Update Date | 05/07/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821653593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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