Individual
JAI THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
2 EMBARCADERO CTR LBBY LEVEL, SAN FRANCISCO, CA 94111-3823
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
PSB94024755
CA
103T00000X
Psychologist
Primary
PSY35001
CA
103T00000X
Psychologist
—
CA
103T00000X
Psychologist
—
—
Other
Enumeration date
06/16/2015
Last updated
07/07/2025
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