Provider Demographics
NPI:1306836838
Name:KUGLER, DANIEL JOSEPH (STD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:KUGLER
Suffix:
Gender:M
Credentials:STD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 PIERCE ST
Mailing Address - Street 2:#1721 C
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1013
Mailing Address - Country:US
Mailing Address - Phone:510-525-2490
Mailing Address - Fax:
Practice Address - Street 1:1537 FRANKLIN ST
Practice Address - Street 2:#304
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4580
Practice Address - Country:US
Practice Address - Phone:415-921-1619
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC5871106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist