Individual
BRENDA ASCENCIO LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
(510) 317-1444
Mailing address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
80049
CA
104100000X
Social Worker
80049
CA
1041C0700X
Clinical Social Worker
Primary
104717
CA
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
80049
CA
Other
Enumeration date
07/28/2014
Last updated
06/09/2023
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