Healthcare Provider Details

I. General information

NPI: 1548632243
Provider Name (Legal Business Name): MS. ARIELLE DUALAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2015
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 MARKET ST STE 340
SAN FRANCISCO CA
94102-3022
US

IV. Provider business mailing address

870 MARKET ST STE 340
SAN FRANCISCO CA
94102-3022
US

V. Phone/Fax

Practice location:
  • Phone: 415-632-1010
  • Fax:
Mailing address:
  • Phone: 415-632-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: