Provider Demographics
NPI:1215182167
Name:MACAPAGAL, VERONICA ISIP (LMFT)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:ISIP
Last Name:MACAPAGAL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20253 REDWOOD RD
Mailing Address - Street 2:STE A
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546
Mailing Address - Country:US
Mailing Address - Phone:510-247-9831
Mailing Address - Fax:510-247-9825
Practice Address - Street 1:20253 REDWOOD RD
Practice Address - Street 2:STE A
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:64546
Practice Address - Country:US
Practice Address - Phone:510-247-9831
Practice Address - Fax:510-247-9825
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 46023106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist