Organization
3RD STREET YOUTH CENTER & CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOI JACKSON-MORGAN (EXECUTIVE DIRECTOR)
(415) 877-1707
Entity
Organization
Contact information
Practice address
1728 BANCROFT AVE, SAN FRANCISCO, CA 94124-2697
(415) 877-1707
(415) 822-1723
Mailing address
1728 BANCROFT AVE, SAN FRANCISCO, CA 94124-2697
(415) 877-1707
(415) 822-1723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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