Individual
CAROLINA SHAHVERDIYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., B.S.
Contact information
Practice address
957 INDUSTRIAL RD, SUITE B, SAN CARLOS, CA 94070-4151
(650) 832-6791
(650) 620-9549
Mailing address
957 INDUSTRIAL RD, SUITE B, SAN CARLOS, CA 94070-4151
(650) 832-6791
(650) 620-9549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/31/2010
Last updated
08/13/2015
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