=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902329709
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES FRANK STRNAD II LMFT
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2017
-----------------------------------------------------
Last Update Date | 06/16/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 117 S CALIFORNIA AVE STE D201
-----------------------------------------------------
City | PALO ALTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94306-1951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-427-0197
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 91 PETER COUTTS CIR
-----------------------------------------------------
City | STANFORD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94305-2513
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-427-0197
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | LMFT88870
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------