MEDICARE: FRANCINE HAAG MORAR LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	121447	CA

General Provider Information

NPI Number	:	1619581857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCINE HAAG MORAR LMFT

Provider Business Mailing Address
First Line	:	PO BOX 780128
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78278-0128
Country	:	US
Telephone Number	:	210-664-0543
Fax Number	:

Provider Business Practice Location Address
First Line	:	12803 WEST AVE APT 9105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-1828
Country	:	US
Telephone Number	:	424-241-6947
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2020
Last Update Date	:	10/21/2020

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