Individual provider · Type 1 NPI

Van David Portlock

Counselor · San Francisco, CA

NPI number 1114153012 Active

Practice location

730 Eddy St, Room 204
San Francisco, CA 94109-7846

Call (415) 353-5655 Map

Fax (415) 673-1266

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114153012

Van David Portlock's National Provider Identifier is 1114153012, issued on Jun 5, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Francisco, CA. The record was last updated on Aug 25, 2022.