| Support Network Of The Bay Area | |
|
293 Sunshine Dr Pacifica CA 94044-1129 | |
| (415) 999-5613 | |
| Not Available |
| Full Name | Support Network Of The Bay Area |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 293 Sunshine Dr, Pacifica, California |
| Authorized Official Name and Position | Jonathan Justin Newsome (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4159995613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Support Network Of The Bay Area 293 Sunshine Dr Pacifica CA 94044-1129 Ph: (415) 999-5613 | Support Network Of The Bay Area 293 Sunshine Dr Pacifica CA 94044-1129 Ph: (415) 999-5613 |
| NPI Number | 1952969743 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 06/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952969743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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