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NPI Code Detail

MEDICARE: MONICA CRISTINA GEORGESCU LMFT

MEDICARE: MONICA CRISTINA GEORGESCU 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
1106H00000XMarriage & Family TherapistLMFT105930CA

General Provider Information

NPI Number : 1164911293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA CRISTINA GEORGESCU LMFT
Provider Business Mailing Address
First Line : 2154 BRODERICK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-1628
Country : US
Telephone Number : 510-770-6462
Fax Number :
Provider Business Practice Location Address
First Line : 2154 BRODERICK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-1628
Country : US
Telephone Number : 510-770-6462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2018
Last Update Date : 05/03/2018

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