MEDICARE: CHRISTEL PARKER CHASE LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	06000900	NY
2	106H00000X	Marriage & Family Therapist	103263	CA

General Provider Information

NPI Number	:	1073719563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTEL PARKER CHASE LMFT

Provider Business Mailing Address
First Line	:	2082 UNION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2082 UNION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4103
Country	:	US
Telephone Number	:	415-496-6597
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	12/04/2019

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Directions to “ CHRISTEL PARKER CHASE LMFT” Practice Location

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