Individual
ALEXANDRA CAPULONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2919 MISSION ST, SAN FRANCISCO, CA 94110-3917
(415) 229-0500
Mailing address
735 TARAVAL ST APT B, SAN FRANCISCO, CA 94116-2594
(209) 679-3957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2020
Last updated
09/26/2022
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