MEDICARE: EULA LYS DUNKIN 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	145825	CA

General Provider Information

NPI Number	:	1982924809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EULA LYS DUNKIN LMFT

Provider Business Mailing Address
First Line	:	5214F DIAMOND HEIGHTS BLVD # 3050
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-2175
Country	:	US
Telephone Number	:	415-322-5867
Fax Number	:

Provider Business Practice Location Address
First Line	:	5214F DIAMOND HEIGHTS BLVD # 3050
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-2175
Country	:	US
Telephone Number	:	415-322-5867
Fax Number	:

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

Provider Enumeration Date	:	06/02/2010
Last Update Date	:	07/22/2025

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