Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
NPI | 1043345556 |
---|---|
Provider Name | Teresa M Fleming |
First Address | San Francisco, CA 94102-3329 |
Second Address | San Francisco, CA 94102-3329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 21/03/2014 |