Individual provider · Type 1 NPI

Kellen Tisinger

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1699175349 Active

Practice location

3626 Balboa St
San Francisco, CA 94121-2604

Call (415) 668-5955 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699175349

Kellen Tisinger's National Provider Identifier is 1699175349, issued on Aug 31, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Aug 23, 2016.