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Kristen E Fong, MFT
Preferred Provider Organization in San Rafael, California
NPI 1790955516

Kristen E Fong is a Preferred Provider Organization based in San Rafael, CA. Kristen E Fong practices in San Rafael, CA and has the professional credentials of MFT. The NPI Number for Kristen E Fong is 1790955516 and holds a License No. MFC36228 (California).

The current practice location address for Kristen E Fong is 1050 Northgate Dr, San Rafael, CA and can be reached out via phone at 415-250-0541.

Location: 1050 Northgate Dr, San Rafael, CA, 94903-2526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790955516
Provider Name
Kristen E Fong
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
1050 Northgate Dr, San Rafael, CA, 94903-2526
Phone Number
415-250-0541
Fax Number
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1050 Northgate Dr
City
San Rafael
State
California
Zip
94903-2526
Phone Number
415-250-0541
Fax Number
person
Provider Business Mailing Address Details
Address
1050 Northgate Dr
City
San Rafael
State
California
Zip
94903-2526
Phone Number
415-250-0541
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
MFC36228 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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