Provider Demographics
NPI:1437472875
Name:LOVE, FRANCES L (MFT)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:L
Last Name:LOVE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:L
Other - Last Name:FANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 KINROSS DR APT 17
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2136
Mailing Address - Country:US
Mailing Address - Phone:925-945-6549
Mailing Address - Fax:
Practice Address - Street 1:1757 WALLER ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-2727
Practice Address - Country:US
Practice Address - Phone:415-213-7429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 27149106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist