Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN E FONG, MFT
Active Sole ProprietorKRISTEN E FONG, MFT is a Preferred Provider Organization healthcare provider located in SAN RAFAEL, California. NPI 1790955516 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1790955516
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2008 (18.461223543309 yrs)
- Last Updated
- Jul 20, 2015
- License
-
MFC36228 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1050 NORTHGATE DRSUITE 12SAN RAFAEL, CA, 949032526Browse CA providers · Browse ZIP 94903
- Phone
- 4152500541
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.