Individual
ANDREA MARIA BOITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577-4962
(510) 924-0548
Mailing address
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577-4962
(510) 924-0548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
APCC14071
CA
101YP2500X
Professional Counselor
Primary
APCC14071
CA
Other
Enumeration date
07/25/2017
Last updated
07/09/2024
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