Healthcare Provider Details

I. General information

NPI: 1265778302
Provider Name (Legal Business Name): MISS YUN-CHI LIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2012
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 POST ST COMMUNITY YOUTH CENTER
SAN FRANCISCO CA
94109-5603
US

IV. Provider business mailing address

5160 DIAMOND HEIGHTS BLVD APT 108C
SAN FRANCISCO CA
94131-1738
US

V. Phone/Fax

Practice location:
  • Phone: 415-775-2636
  • Fax:
Mailing address:
  • Phone: 646-220-9113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: