Healthcare Provider Details

I. General information

NPI: 1336052414
Provider Name (Legal Business Name): NAN BURLINSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 SACRAMENTO ST # 106
SAN FRANCISCO CA
94118-2712
US

IV. Provider business mailing address

3450 SACRAMENTO ST # 106
SAN FRANCISCO CA
94118-2712
US

V. Phone/Fax

Practice location:
  • Phone: 415-366-0409
  • Fax:
Mailing address:
  • Phone: 415-366-0409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164518
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: