Source Psychotherapy Inc.
NPI #1487286738 in San Francisco, California
Provider Information
- NPI Number
- 1487286738
- Entity Type
- Organization
- Organization Name
- Source Psychotherapy Inc.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 5, 2020
- Last Updated
- Jun 3, 2021
Practice Location
- Address
- 919 IRVING ST STE 104
- City
- San Francisco
- State
- California
- ZIP Code
- 94122-2272
- Phone
- (415) 225-8750
Authorized Official
- Name
- SHANA AVERBACH, M.S.
- Title
- OWNER/THERAPIST
- Phone
- (415) 225-8750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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