Individual
ALEXANDRIA NOVELLA SHELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 ROLAND WAY STE 150, OAKLAND, CA 94621-2027
(510) 839-3800
Mailing address
2055 CYPRESS AVE, SAN PABLO, CA 94806-1008
(510) 463-7055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
126424
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
77973
CA
Other
Enumeration date
03/30/2015
Last updated
06/30/2021
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