Provider Demographics
NPI:1902693443
Name:ROCHA, ANDREA PRISCA
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:PRISCA
Last Name:ROCHA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3702 SACRAMENTO ST STE A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1740
Mailing Address - Country:US
Mailing Address - Phone:415-690-9668
Mailing Address - Fax:
Practice Address - Street 1:3702 SACRAMENTO ST STE A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1740
Practice Address - Country:US
Practice Address - Phone:415-690-9668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA149418101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health