Individual
DANIELA V CAROLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 FULTON ST, SUITE 102, SAN FRANCISCO, CA 94102-4318
(415) 562-5596
Mailing address
1085 S VAN NESS AVE APT 305, SAN FRANCISCO, CA 94110-2695
(415) 850-8444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
26115
CA
Other
Enumeration date
07/23/2007
Last updated
08/24/2014
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