Provider Demographics
NPI:1235208240
Name:TAMATE, MICHIKO (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MICHIKO
Middle Name:
Last Name:TAMATE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 642881
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94164-2881
Mailing Address - Country:US
Mailing Address - Phone:415-267-6171
Mailing Address - Fax:415-674-8070
Practice Address - Street 1:2859 SACRAMENTO ST STE 5
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2114
Practice Address - Country:US
Practice Address - Phone:415-267-6171
Practice Address - Fax:415-674-8070
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 51172101YM0800X
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health