Healthcare Provider Details

I. General information

NPI: 1568580348
Provider Name (Legal Business Name): LORRAINE TOUCHATT LCSW,MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3884 24TH ST
SAN FRANCISCO CA
94114-3839
US

IV. Provider business mailing address

3884 24TH ST
SAN FRANCISCO CA
94114-3839
US

V. Phone/Fax

Practice location:
  • Phone: 415-821-6039
  • Fax: 415-821-6039
Mailing address:
  • Phone: 415-821-6039
  • Fax: 415-821-6039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC 16090,LCS 13829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: