| Stacey Kolsrud | |
|
870 Market St Suite 1186 San Francisco CA 94102-3099 | |
| (415) 255-2591 | |
| Not Available |
| Full Name | Stacey Kolsrud |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 870 Market St, San Francisco, California |
| Authorized Official Name and Position | Stacey Kolsrud (MFT) |
| Authorized Official Contact | 4152651985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Kolsrud 1939 Hayes St Apt 6 San Francisco CA 94117-1157 Ph: (415) 265-1985 | Stacey Kolsrud 870 Market St Suite 1186 San Francisco CA 94102-3099 Ph: (415) 255-2591 |
| NPI Number | 1538549415 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538549415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 86928 (California) | Primary |
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