Individual
ALEXANDRIA MARIE KOTRAN
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
100240
CA
106H00000X
Marriage & Family Therapist
100240
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
100240
CA
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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