Provider Demographics
NPI:1598203234
Name:VERMA, RAINA (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:RAINA
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 CENTRAL AVE
Mailing Address - Street 2:APT. 1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-1366
Mailing Address - Country:US
Mailing Address - Phone:415-562-5869
Mailing Address - Fax:
Practice Address - Street 1:538 HAYES ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4214
Practice Address - Country:US
Practice Address - Phone:415-562-5869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97361106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist