=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366515769
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ATSUKO HORI MILLER MFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/16/2006
-----------------------------------------------------
Last Update Date | 10/26/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 887 POTRERO AVE
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94110-2869
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 628-206-4356
-----------------------------------------------------
Fax | 628-206-7597
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 887 POTRERO AVE
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94110-2869
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 628-206-4356
-----------------------------------------------------
Fax | 628-206-7597
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | MFC 49873
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------