Healthcare Provider Details

I. General information

NPI: 1427724350
Provider Name (Legal Business Name): GABRIELA ANASTASIA LOPEZ-MACHON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 GUERRERO ST STE A
SAN FRANCISCO CA
94110-1015
US

IV. Provider business mailing address

PO BOX 40418
SAN FRANCISCO CA
94140-0418
US

V. Phone/Fax

Practice location:
  • Phone: 415-621-5661
  • Fax:
Mailing address:
  • Phone: 415-857-2331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number152208
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: