=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649202995
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HELENE J. HOLLANDER LMFC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/07/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 999 SUTTER ST 3900 CALIFORNIA #1
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94109-6023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-750-0762
-----------------------------------------------------
Fax | 415-751-5757
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3900 CALIFORNIA ST UNIT #1
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94118-1494
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-750-0762
-----------------------------------------------------
Fax | 415-751-5757
-----------------------------------------------------
=====================================================
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 | MFC31427
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------