Most Relevant Information
Provider Data
| NPI Number: | 1003366741 |
| Provider Name: | VIVIAN SUSSELLE ESTEVEZ LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 34644 |
Most Important Dates
| Enumeration Date: | 10/05/2016 |
| Last Updated: | 10/05/2016 |
Provider Practice Location
355 GELLERT BLVD STE 280
DALY CITY
CA
940152619
Practice Location Phone/Fax
| Phone: | 6508985423 |
| Fax: | 6505649948 |
Provider Mailing Location
2755 SAN BRUNO AVE UNIT 347298
SAN FRANCISCO
CA
941341557
Provider Mailing Phone/Fax
| Phone: | 6508985423 |
| Fax: | 6505649948 |