Provider Demographics
NPI:1740401207
Name:FRAIM, KATERINA BORKOVA (MFTI, CRC)
Entity Type:Individual
Prefix:
First Name:KATERINA
Middle Name:BORKOVA
Last Name:FRAIM
Suffix:
Gender:F
Credentials:MFTI, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 CALIFORNIA ST STE 10
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-514-1438
Mailing Address - Fax:
Practice Address - Street 1:3333 CALIFORNIA ST
Practice Address - Street 2:SUITE #10
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1981
Practice Address - Country:US
Practice Address - Phone:415-514-1438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52931106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist