Individual
KATHLEEN STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1001 POTRERO AVE RM 7M8, SAN FRANCISCO, CA 94110-3518
(415) 206-4444
Mailing address
1001 POTRERO AVE RM 7M8, SAN FRANCISCO, CA 94110-3518
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
30654
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2016
Last updated
01/24/2019
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