Fong, Kristen E

Fong, Kristen E is an sole proprietor health care provider with primary practice located at 1050 Northgate Dr Suite 12, San Rafael CA 94903-2526. She recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as her primary health care specialty. Fong, Kristen E can be contacted via phone (415) 250-0541.

Contact Information

Primary practice address
1050 Northgate Dr Suite 12 San Rafael CA 94903-2526
Phone: (415) 250-0541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MFC36228 California

Profile Details

NPI number 1790955516
LBN Legal business name Fong, Kristen E
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2008
Last updated Jul 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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