Organization
AUTHENTIC ALLIANCE, A LICENSED CLINICAL SOCIAL WORKER P.C.
Active
Other names
Authentic Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
LISETTE ROSE LAHANA LCSW (OWNER/PRESIDENT)
(510) 915-4795
Entity
Organization
Contact information
Practice address
445 BELLEVUE AVE STE 104A, OAKLAND, CA 94610-4923
(707) 596-9696
Mailing address
248 3RD ST UNIT 5045, OAKLAND, CA 94607-4375
(707) 596-9696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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