| Source Psychotherapy Inc. | |
|
919 Irving St Ste 104 San Francisco CA 94122-2272 | |
| (415) 225-8750 | |
| Not Available |
| Full Name | Source Psychotherapy Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 919 Irving St Ste 104, San Francisco, California |
| Authorized Official Name and Position | Shana Averbach (OWNER/THERAPIST) |
| Authorized Official Contact | 4152258750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Source Psychotherapy Inc. 919 Irving St Ste 104 San Francisco CA 94122-2272 Ph: (415) 225-8750 | Source Psychotherapy Inc. 919 Irving St Ste 104 San Francisco CA 94122-2272 Ph: (415) 225-8750 |
| NPI Number | 1487286738 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 06/03/2021 |
| Certification Date | 06/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487286738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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