| NPI | 1487286738 | 
|---|---|
| Doing Business As | SHANA AVERBACH, LMFT | 
| Doing Business As | SOURCE PSYCHOTHERAPY | 
| Entity Type | Organization | 
| Authorized Contact | SHANA AVERBACH Owner/Therapist 415-225-8750  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2020-02-05 | 
| Last Update Date | 2021-06-03 |