Provider Demographics
NPI:1215719307
Name:HOWARD, CARIE RENAYE (MFT TRAINEE)
Entity type:Individual
Prefix:MS
First Name:CARIE
Middle Name:RENAYE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MFT TRAINEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 VAN NESS AVE APT 22
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-9416
Mailing Address - Country:US
Mailing Address - Phone:209-602-0775
Mailing Address - Fax:
Practice Address - Street 1:373 ELLIS ST
Practice Address - Street 2:MAIN OFFICE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-223-1435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist