Organization
HIVELY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA MORALES (OFFICE MANAGER)
(510) 483-6715
Entity
Organization
Contact information
Practice address
2208 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-5957
(510) 483-6715
(510) 483-6719
Mailing address
7901 STONERIDGE DR STE 150, PLEASANTON, CA 94588-3502
(925) 417-8733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/19/2019
Last updated
01/03/2023
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