Provider Demographics
NPI:1972905685
Name:TSAI, YUN-CHAN (LMFT)
Entity Type:Individual
Prefix:
First Name:YUN-CHAN
Middle Name:
Last Name:TSAI
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:YUN-CHAN ALEX
Other - Middle Name:
Other - Last Name:TSAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:1303 SAN CARLOS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-2317
Mailing Address - Country:US
Mailing Address - Phone:650-436-7321
Mailing Address - Fax:650-523-4354
Practice Address - Street 1:1303 SAN CARLOS AVE
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-2317
Practice Address - Country:US
Practice Address - Phone:650-436-7321
Practice Address - Fax:650-523-4354
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT96390106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist