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General NPI Number Information
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NPI Number | 1932032208
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Entity Type | Individual
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Provider Name | MARTINA ANNA DE SANTIS AMFT, APCC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 3368 SACRAMENTO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1912
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Country | US
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Telephone | 415-484-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 BRIDGEWAY STE A
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City | SAUSALITO
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State | CA
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Zip | 94965-2104
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Country | US
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Telephone |
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | APCC22738
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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 | AMFT162734
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License Number State | CA
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