Individual
BERTHA KEREN ALFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5723 WHITTIER BLVD, LOS ANGELES, CA 90022-4222
(323) 721-6855
(323) 721-8631
Mailing address
5723 WHITTIER BLVD, LOS ANGELES, CA 90022-4222
(323) 721-6855
(323) 721-8631
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCDC104525
SUBSTANCE ABUSE
CA
Enumeration date
05/06/2011
Last updated
05/06/2011
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