Provider Demographics
NPI:1730396763
Name:BACOSA, FRANCESCA ADELE (MFT)
Entity type:Individual
Prefix:MRS
First Name:FRANCESCA
Middle Name:ADELE
Last Name:BACOSA
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 1:8339 CHURCH ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-4453
Mailing Address - Country:US
Mailing Address - Phone:408-842-1119
Mailing Address - Fax:831-623-9006
Practice Address - Street 1:8339 CHURCH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-4453
Practice Address - Country:US
Practice Address - Phone:408-842-1119
Practice Address - Fax:831-623-9006
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC9189106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist