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Provider Information for 1861929457


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MEGHAN TODD LMFT, RDT


Other Names:  
Former Name: 
MEGHAN CHAMBERS MA, IMF

Sex: Female

NPI: 1861929457
Last Updated: 2020-03-22
Certification Date: 2020-03-22

Details

NameValue
NPI1861929457
Enumeration Date2017-05-15
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 30691
OAKLAND, CA 94604-6791
United States

Phone: | Fax:
 
Primary Practice Address 3045 SANTIAGO ST
SAN FRANCISCO, CA 94116-1526
United States

Phone: 510-426-6357 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist