Individual
MS. ALISA VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTI
Contact information
Practice address
3120 TELEGRAPH AVE, BERKELEY, CA 94705-1900
(510) 306-1574
Mailing address
3626 BALBOA ST, SAN FRANCISCO, CA 94121-2604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
79906
CA
Other
Enumeration date
09/05/2013
Last updated
06/23/2016
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