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Individual

ALYSE GINTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3075 ADELINE ST STE 120, BERKELEY, CA 94703-2579
(510) 848-1112
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC61167669
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/04/2018
Last updated
12/02/2021
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