Provider Demographics
NPI:1437531431
Name:MCFADDEN, JOHN HUGH (MFT4348)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HUGH
Last Name:MCFADDEN
Suffix:
Gender:M
Credentials:MFT4348
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 26TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-1837
Mailing Address - Country:US
Mailing Address - Phone:415-722-5860
Mailing Address - Fax:
Practice Address - Street 1:4220 26TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-1837
Practice Address - Country:US
Practice Address - Phone:415-722-5860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT4348106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist