MR. ROGER LAKE MFT
NPI 1033438700
Marriage & Family Therapist in San Francisco, CA

Active since May 20, 2010
1325 COLUMBUS AVE, TOP FLOOR, SAN FRANCISCO, CA 94133(415) 567-7786(415) 567-7786 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Roger Lake Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROGER LAKE MFT (NPI 1033438700) is an individual marriage & family therapist in San Francisco, California, licensed in California (MFT17914) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1033438700
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. ROGER LAKECredential: MFT
Location Address1325 COLUMBUS AVE, TOP FLOORSan Francisco, CA 94133-1303
Mailing Address1325 Columbus Ave, Top FloorSan Francisco, CA 94133-1303 · (415) 567-7786 · Fax (415) 567-7786
Fax(415) 567-7786
Sole ProprietorYes
Enumeration DateMay 20, 2010
NPI 1033438700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFT17914
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1325 COLUMBUS AVE, San Francisco, CA 94133

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1325 COLUMBUS AVE
SAN FRANCISCO, CA 94133
Marriage & Family Therapist
1325 COLUMBUS AVE, TOP FLOOR
SAN FRANCISCO, CA 94133
Marriage & Family Therapist
1325 COLUMBUS AVE, TOP FLOOR
SAN FRANCISCO, CA 94133
Social Worker
1325 COLUMBUS AVE
SAN FRANCISCO, CA 94133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033438700, enumerated as an "individual" on May 20, 2010.

The provider is located at 1325 COLUMBUS AVE TOP FLOOR SAN FRANCISCO, CA 94133 and the phone number is (415) 567-7786.

Marriage & Family Therapist with taxonomy code 106H00000X.