Individual
ANGELA Y MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1730 DIVISADERO ST, SAN FRANCISCO, CA 94115-3012
(415) 308-0037
Mailing address
4141 GEARY BLVD FL 3, SAN FRANCISCO, CA 94118-3111
(415) 308-0037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCS 12366
CA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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