Provider Demographics
NPI:1790202992
Name:KOVACS, BARTHOLOMEW JOSEPH (LMFT)
Entity Type:Individual
Prefix:
First Name:BARTHOLOMEW
Middle Name:JOSEPH
Last Name:KOVACS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 MARKET ST
Mailing Address - Street 2:PMB 22932
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5401
Mailing Address - Country:US
Mailing Address - Phone:415-212-8685
Mailing Address - Fax:
Practice Address - Street 1:1732 FILLMORE ST STE 6
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3130
Practice Address - Country:US
Practice Address - Phone:415-343-5047
Practice Address - Fax:415-928-6084
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123896106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist