Provider Demographics
NPI:1891992533
Name:HUNTER, SHAMSIA LEELA KHAWJA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:SHAMSIA
Middle Name:LEELA KHAWJA
Last Name:HUNTER
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 1:1829 MARKET ST
Mailing Address - Street 2:#206
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-7400
Mailing Address - Country:US
Mailing Address - Phone:510-304-0511
Mailing Address - Fax:415-889-6424
Practice Address - Street 1:1829 MARKET ST
Practice Address - Street 2:#206
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-7400
Practice Address - Country:US
Practice Address - Phone:510-304-0511
Practice Address - Fax:415-889-6424
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53041106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist