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General NPI Number Information
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NPI Number | 1184788929
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Entity Type | Individual
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Provider Name | MARCELLA ANTOINETTE CROSLEY MFTI
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1309 EVANS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94124-1705
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Country | US
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Telephone | 628-754-9853
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Fax | 415-970-3900
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Provider Business Mailing Address
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Address Line | 3801 3RD ST STE 400
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City | SAN FRANCISCO
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State | CA
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Zip | 94124-1409
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Country | US
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Telephone | 415-970-3833
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Fax | 415-970-3900
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 40453
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 107004
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License Number State | CA
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