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Organization
STACEY KOLSRUD
Active
Organization
STACEY KOLSRUD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY KOLSRUD MA, MFT (MFT)
(415) 265-1985
Entity
Organization
Contact information
Practice address
870 MARKET ST, SUITE 1186, SAN FRANCISCO, CA 94102-3099
(415) 255-2591
Mailing address
1939 HAYES ST, APT 6, SAN FRANCISCO, CA 94117-1157
(415) 265-1985
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
86928
CA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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