Provider Demographics
NPI:1306321070
Name:LETT, TORI ERIN (AMFT, APCC)
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:ERIN
Last Name:LETT
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:TORI
Other - Middle Name:ERIN
Other - Last Name:LETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AMFT, APCC
Mailing Address - Street 1:3800 COOLIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602
Mailing Address - Country:US
Mailing Address - Phone:510-482-2244
Mailing Address - Fax:510-488-1960
Practice Address - Street 1:982 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2911
Practice Address - Country:US
Practice Address - Phone:415-730-9735
Practice Address - Fax:415-597-8004
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT106552106H00000X
CAAPCC5115101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist