Provider Demographics
NPI:1326281122
Name:CHOW, CLAIRE SANDRA (MFT)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:SANDRA
Last Name:CHOW
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 SAN RAMON VALLEY BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1614
Mailing Address - Country:US
Mailing Address - Phone:925-828-2656
Mailing Address - Fax:
Practice Address - Street 1:2551 SAN RAMON VALLEY BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1614
Practice Address - Country:US
Practice Address - Phone:925-828-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 30789106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11836548OtherUNITED BEHAVIORAL HEALTH