Healthcare Provider Details

I. General information

NPI: 1922315332
Provider Name (Legal Business Name): MARGARET FLORENCE BURKLE B.A., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

972 MISSION ST FL 3
SAN FRANCISCO CA
94103-2992
US

IV. Provider business mailing address

2912 DIAMOND ST # 139
SAN FRANCISCO CA
94131-3208
US

V. Phone/Fax

Practice location:
  • Phone: 415-487-3300
  • Fax: 844-364-0133
Mailing address:
  • Phone: 415-699-0439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number108930
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: