Healthcare Provider Details

I. General information

NPI: 1710173919
Provider Name (Legal Business Name): LATREASE MONEK SESSION
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 OAK ST
SAN FRANCISCO CA
94102-5610
US

IV. Provider business mailing address

995 POTRERO AVE FL 2
SAN FRANCISCO CA
94110-2859
US

V. Phone/Fax

Practice location:
  • Phone: 415-626-5199
  • Fax: 415-626-2645
Mailing address:
  • Phone: 628-206-6990
  • Fax: 415-626-2645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: