Provider Demographics
NPI:1336366657
Name:DAKIN, CARY ELIZABETH (MFT)
Entity Type:Individual
Prefix:
First Name:CARY
Middle Name:ELIZABETH
Last Name:DAKIN
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 1:1777 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4426
Mailing Address - Country:US
Mailing Address - Phone:415-346-0788
Mailing Address - Fax:415-520-5289
Practice Address - Street 1:1777 UNION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4426
Practice Address - Country:US
Practice Address - Phone:415-346-0788
Practice Address - Fax:415-520-5289
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 34856106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist