MEDICARE: MS. ELLEN KESSLER 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	MFC36391	CA

General Provider Information

NPI Number	:	1861777542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELLEN KESSLER LMFT

Provider Business Mailing Address
First Line	:	3037 CLAY ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1623
Country	:	US
Telephone Number	:	415-999-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	3037 CLAY ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1623
Country	:	US
Telephone Number	:	415-999-7246
Fax Number	:	415-749-1920

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

Provider Enumeration Date	:	10/13/2011
Last Update Date	:	10/13/2011

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