Individual
ASHLEY SAMANTHA ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
3200 ADELINE ST, BERKELEY, CA 94703-2407
(510) 601-0203
Mailing address
3200 ADELINE ST, BERKELEY, CA 94703-2407
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
104909
CA
104100000X
Social Worker
Primary
104909
CA
390200000X
Student in an Organized Health Care Education/Training Program
104909
CA
Other
Enumeration date
07/19/2017
Last updated
05/15/2023
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