Individual
ADAM OTTAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3075 ADELINE ST STE 120, BERKELEY, CA 94703-2579
(510) 848-1112
Mailing address
1337 PAGE ST APT 6, SAN FRANCISCO, CA 94117-3053
(907) 322-2392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225700000X
Massage Therapist
101391
AK
Other
Enumeration date
06/23/2016
Last updated
08/30/2021
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