Provider Demographics
NPI:1346414430
Name:HABASH, MARCELA (MFT I)
Entity Type:Individual
Prefix:MRS
First Name:MARCELA
Middle Name:
Last Name:HABASH
Suffix:
Gender:F
Credentials:MFT I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 HILLSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-1011
Mailing Address - Country:US
Mailing Address - Phone:415-375-7601
Mailing Address - Fax:
Practice Address - Street 1:81 HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1011
Practice Address - Country:US
Practice Address - Phone:415-375-7601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist