Provider Demographics
NPI:1578618575
Name:DOUGHTY, FRANCES MCCULLOCH (MFT)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:MCCULLOCH
Last Name:DOUGHTY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-3704
Mailing Address - Country:US
Mailing Address - Phone:510-990-1484
Mailing Address - Fax:510-281-7529
Practice Address - Street 1:287 17TH ST STE A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-4191
Practice Address - Country:US
Practice Address - Phone:510-990-1484
Practice Address - Fax:510-281-7529
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC48955106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist