MEDICARE: MS. KA MAN CHOW MFT LICENSED

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	49393	CA

General Provider Information

NPI Number	:	1356488159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KA MAN CHOW MFT LICENSED

Provider Business Mailing Address
First Line	:	2517 MISSION ST STE 5
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-7506
Country	:	US
Telephone Number	:	650-303-2308
Fax Number	:

Provider Business Practice Location Address
First Line	:	2517 MISSION ST STE 5
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-7506
Country	:	US
Telephone Number	:	650-303-2308
Fax Number	:

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	11/13/2023

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