Individual
TAMMY VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3626 BALBOA ST, SAN FRANCISCO, CA 94121-2604
(415) 668-5955
Mailing address
3626 BALBOA ST, SAN FRANCISCO, CA 94121-2604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4488
CA
101YP2500X
Professional Counselor
Primary
9395
CA
Other
Enumeration date
07/26/2018
Last updated
05/11/2021
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