Individual
ALEXA TABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2375 SHATTUCK AVE, BERKELEY, CA 94704-3298
(765) 413-1900
Mailing address
815 REGAL RD, BERKELEY, CA 94708-1307
(765) 413-1900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008095A
IN
Other
Enumeration date
03/29/2018
Last updated
01/24/2025
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