Provider Demographics
NPI:1619188844
Name:ACCIARDI, FRANCES (MFT)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:ACCIARDI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:EMERALD HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:94062-3808
Mailing Address - Country:US
Mailing Address - Phone:415-420-1134
Mailing Address - Fax:
Practice Address - Street 1:841 SAN BRUNO AVE W
Practice Address - Street 2:SUITE #2
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-3443
Practice Address - Country:US
Practice Address - Phone:415-420-1134
Practice Address - Fax:650-871-5200
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28882106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist