3RD STREET YOUTH CENTER & CLINIC NPI 1912504929

NPI Information

NPI: 1912504929
Provider Name: 3RD STREET YOUTH CENTER & CLINIC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1728 BANCROFT AVE
SAN FRANCISCO, CA
ZIP 94124
Phone: (415) 877-1707
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3RD STREET YOUTH CENTER & CLINIC is a mental health counselor in San Francisco, CA. 3RD STREET YOUTH CENTER & CLINIC NPI is 1912504929. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1728 BANCROFT AVE
SAN FRANCISCO, CA
ZIP 94124-697
Phone: (415) 877-1707
Fax: (415) 822-1723

The provider's authorized official is Joi Jackson-morgan .
The authorized official title is Executive Director and has the following contact phone number (415) 877-1707.

The enumeration date for this NPI number is 10/2/2020 and was last updated on 10/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	106H00000X	Marriage & Family Therapist		No
3	101YM0800X	Counselor	Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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