Organization
DESICOUCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DESDEMONIA WHITTLE MFT (PRESIDENT)
(415) 267-4850
Entity
Organization
Contact information
Practice address
61 AIRPORT BLVD., STE. C, SOUTH SAN FRANCISCO, CA 94080
(415) 267-4850
(415) 267-4850
Mailing address
61 AIRPORT BLVD, STE. C, SOUTH SAN FRANCISCO, CA 94080-6522
(415) 267-4850
(415) 267-4850
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
43971
CA
Other
Enumeration date
02/17/2010
Last updated
12/17/2013
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