Organization
MARIANA PRUTTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA PRUTTON (MARRIAGE AND FAMILY THERAPIST)
(415) 604-3509
Entity
Organization
Contact information
Practice address
1640 VALENCIA ST STE 2B, SAN FRANCISCO, CA 94110-5040
(415) 604-3509
Mailing address
3041 MISSION ST # 311, SAN FRANCISCO, CA 94110-4501
(415) 604-3509
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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