Individual
SCOTT SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 11TH ST, SAN FRANCISCO, CA 94103
(415) 355-0311
Mailing address
245 11TH ST, SAN FRANCISCO, CA 94103-3732
(415) 355-0311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
167G00000X
Licensed Psychiatric Technician
Primary
PT25369
CA
Other
Enumeration date
02/08/2007
Last updated
09/10/2019
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