Phoenix Song, LMFT
NPI #1003583220 in Berkeley, California
Provider Information
- NPI Number
- 1003583220
- Entity Type
- Individual
- Name
- Phoenix Song, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Aug 25, 2021
- Last Updated
- Dec 27, 2021
Practice Location
- Address
- 1400 SHATTUCK AVE, STE 12
- Address 2
- #228
- City
- Berkeley
- State
- California
- ZIP Code
- 94709-1411
- Phone
- (415) 545-8215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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