Provider Demographics
NPI:1710032859
Name:MAZZA FRANCHETTI, MICHELLE M (MFT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:M
Last Name:MAZZA FRANCHETTI
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 1:481 VIA HIDALGO
Mailing Address - Street 2:SUITE 140
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1752
Mailing Address - Country:US
Mailing Address - Phone:415-339-8001
Mailing Address - Fax:
Practice Address - Street 1:481 VIA HIDALGO
Practice Address - Street 2:SUITE 140
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1752
Practice Address - Country:US
Practice Address - Phone:415-339-8001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39319106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist