Individual
CANDICE VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
368 FELL ST, SAN FRANCISCO, CA 94102
(415) 861-0828
(415) 861-0140
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
07/04/2018
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