Individual
ALISA DE LOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1563 MISSION ST, SAN FRANCISCO, CA 94103-2543
(415) 762-3700
(415) 554-0159
Mailing address
1563 MISSION ST, SAN FRANCISCO, CA 94103-2543
(415) 762-3700
(415) 554-0159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
93202
CA
1041C0700X
Clinical Social Worker
Primary
101719
CA
Other
Enumeration date
04/12/2021
Last updated
11/09/2021
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