Individual
ALICIA I CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
680 E COLORADO BLVD STE 180&2ND, PASADENA, CA 91101-6143
(646) 941-7645
(929) 596-7897
Mailing address
4864 MONTGOMERY DR, SANTA ROSA, CA 95409-4214
(209) 675-2699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113633
CA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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