Healthcare Provider Details

I. General information

NPI: 1184385437
Provider Name (Legal Business Name): MITSUE NAKAGAKI KARAMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 01/07/2022
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533A CASTRO ST
SAN FRANCISCO CA
94114-2511
US

IV. Provider business mailing address

805 ARLINGTON BLVD
EL CERRITO CA
94530-2701
US

V. Phone/Fax

Practice location:
  • Phone: 415-727-5892
  • Fax:
Mailing address:
  • Phone: 415-515-2097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number118572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: