Provider Demographics
NPI:1710173125
Name:GARCIA, NORMA ESTHELA
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:ESTHELA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NORMA
Other - Middle Name:E
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFTI
Mailing Address - Street 1:3801 3RD ST BLDG B
Mailing Address - Street 2:STE 400
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-1409
Mailing Address - Country:US
Mailing Address - Phone:415-970-3850
Mailing Address - Fax:415-970-3900
Practice Address - Street 1:3801 3RD ST
Practice Address - Street 2:STE 400
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-1409
Practice Address - Country:US
Practice Address - Phone:415-970-3850
Practice Address - Fax:415-970-3900
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 42035106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist