Healthcare Provider Details

I. General information

NPI: 1538843776
Provider Name (Legal Business Name): CELINE TSAI DANTES AMFT, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 OCEAN AVE
SAN FRANCISCO CA
94112-1727
US

IV. Provider business mailing address

1701 OCEAN AVE
SAN FRANCISCO CA
94112-1727
US

V. Phone/Fax

Practice location:
  • Phone: 628-754-9700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number148286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: