Provider Demographics
NPI:1922696004
Name:CURIALE, SAMANTHA (MFT)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:CURIALE
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 1:301 MISSION ST APT 25F
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-6651
Mailing Address - Country:US
Mailing Address - Phone:415-867-8453
Mailing Address - Fax:
Practice Address - Street 1:45 SAN CLEMENTE DR STE D210
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1297
Practice Address - Country:US
Practice Address - Phone:415-867-8453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
108261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health