Provider Demographics
NPI:1558430900
Name:KERMEEN, JOYCE AILSON (LMFT)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:AILSON
Last Name:KERMEEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4104 24TH ST # 521
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3676
Mailing Address - Country:US
Mailing Address - Phone:415-775-7766
Mailing Address - Fax:415-775-7730
Practice Address - Street 1:825 VAN NESS AVE STE 503
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-7893
Practice Address - Country:US
Practice Address - Phone:415-775-7766
Practice Address - Fax:415-775-7730
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39979106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist