NPI 1003583220

Phoenix Song, LMFT

Practitioner Marriage & Family Therapist Berkeley, CA

Practice location

Address: 1400 Shattuck Ave, STE 12 #228, Berkeley, CA 94709-1411
Phone: (415) 545-8215

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 109093 (CA)

Other Marriage & Family Therapist providers in California →

Registry record

NPI: 1003583220
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2021
Record last updated: 27 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.