National Provider Identifier Database

KRISTEN E FONG, MFT – NPI #1790955516
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

KRISTEN E FONG, MFT
1050 NORTHGATE DR
SUITE 12
SAN RAFAEL, CA94903-2526
Phone: 415-250-0541
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for KRISTEN E FONG

NPI Number 1790955516
Credentials MFT (Marriage and Family Therapist)
Entity Individual
Enumeration date 03/07/2008
Last updated 07/20/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: MFC36228
Hospital affiliation n/a

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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