Healthcare Provider Details

I. General information

NPI: 1861230823
Provider Name (Legal Business Name): YUEQING HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 07/21/2024
Certification Date: 07/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 MISSION ST
SAN FRANCISCO CA
94103-2621
US

IV. Provider business mailing address

PO BOX 2339
DUBLIN CA
94568-0233
US

V. Phone/Fax

Practice location:
  • Phone: 843-271-0982
  • Fax:
Mailing address:
  • Phone: 843-271-0982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number147075
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: