Provider Demographics
NPI:1285831727
Name:UCSF DEAF COMMUNITY COUNSELING SERVICES
Entity Type:Organization
Organization Name:UCSF DEAF COMMUNITY COUNSELING SERVICES
Other - Org Name:UCSF CENTER ON DEAFNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANGHOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:415-476-4980
Mailing Address - Street 1:3333 CALIFORNIA ST.
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-1208
Mailing Address - Country:US
Mailing Address - Phone:415-476-4980
Mailing Address - Fax:415-476-7113
Practice Address - Street 1:3333 CALIFORNIA ST.
Practice Address - Street 2:SUITE 10
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-1208
Practice Address - Country:US
Practice Address - Phone:415-476-4980
Practice Address - Fax:415-476-7113
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF CALIFORNIA - LANGLEY PORTER PSYCHIATRIC INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-28
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health