Provider Demographics
NPI:1386957926
Name:ABRAMS, DIANA N (MFTI)
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:N
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2911
Mailing Address - Country:US
Mailing Address - Phone:415-489-7323
Mailing Address - Fax:415-597-8004
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:415-489-7323
Practice Address - Fax:415-597-8004
Is Sole Proprietor?:No
Enumeration Date:2010-07-25
Last Update Date:2022-05-24
Deactivation Date:2022-03-28
Deactivation Code:
Reactivation Date:2022-05-24
Provider Licenses
StateLicense IDTaxonomies
CA92169106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist