Individual
LAUREN MICHELLE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 POTRERO AVE, 6B, SAN FRANCISCO, CA 94110-3518
(415) 206-5270
Mailing address
2728 DURANT AVE, BERKELEY, CA 94704-1725
(510) 841-9230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
PSY32695
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/27/2012
Last updated
06/22/2021
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