Provider Demographics
NPI:1467712927
Name:FRANCIS, DANA (MA, MFT)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S 6TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93433-2057
Mailing Address - Country:US
Mailing Address - Phone:805-550-0428
Mailing Address - Fax:
Practice Address - Street 1:150 S 6TH ST STE A
Practice Address - Street 2:
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-2057
Practice Address - Country:US
Practice Address - Phone:805-550-0428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51468106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist