Healthcare Provider Details

I. General information

NPI: 1225757826
Provider Name (Legal Business Name): LOUISA MARIE VALDEZ GUEVARA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2022
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 STANYAN ST
SAN FRANCISCO CA
94117-1019
US

IV. Provider business mailing address

2200 HAYES ST
SAN FRANCISCO CA
94117-1013
US

V. Phone/Fax

Practice location:
  • Phone: 415-816-4867
  • Fax:
Mailing address:
  • Phone: 415-750-5677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161254
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: