Provider Demographics
NPI:1508058199
Name:LIU, ANTHONY QI RUI (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:QI RUI
Last Name:LIU
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:QI RUI
Other - Middle Name:ANTHONY
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSAT
Mailing Address - Street 1:917 THE ALAMEDA
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2301
Mailing Address - Country:US
Mailing Address - Phone:925-272-9638
Mailing Address - Fax:
Practice Address - Street 1:917 THE ALAMEDA
Practice Address - Street 2:SUITE #4
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2301
Practice Address - Country:US
Practice Address - Phone:925-272-9638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT81072106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist