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Contact Information

THERESA DE LA FUENTE
1001 POLK STREET
SAN FRANCISCO, CA94109
 Phone: 415-756-5482
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for THERESA DE LA FUENTE · (Female)

NPI Number 1023365350
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2012
Last updated 03/11/2014 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 77981
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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