VAN DAVID PORTLOCK NPI 1114153012

NPI Information

Van David Portlock is a counselor in San Francisco, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Van David Portlock NPI is 1114153012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

730 EDDY ST
ROOM 204
SAN FRANCISCO, CA
ZIP 94109-846
Phone: (415) 353-5655
Fax: (415) 673-1266

The enumeration date for this NPI number is 6/5/2009 and was last updated on 8/25/2022.

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:

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