Individual
MS. CECILE MARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1662 32ND AVE, SAN FRANCISCO, CA 94122-3141
(415) 564-0221
Mailing address
1662 32ND AVE, SAN FRANCISCO, CA 94122-3141
(415) 564-0221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCS 12374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS12374
LICENSE TO PRACTICE
CA
Enumeration date
03/08/2007
Last updated
07/08/2007
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