Healthcare Provider Details

I. General information

NPI: 1699851998
Provider Name (Legal Business Name): BRONWEN ANTONIA LEMMON MS, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2006
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 KIRKHAM ST
SAN FRANCISCO CA
94122-3219
US

IV. Provider business mailing address

2109 KIRKHAM ST
SAN FRANCISCO CA
94122-3219
US

V. Phone/Fax

Practice location:
  • Phone: 415-820-3930
  • Fax:
Mailing address:
  • Phone: 415-820-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT37128
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: