Individual
AMIN MIRAFTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT I
Contact information
Practice address
1835 ALLSTON WAY, BERKELEY, CA 94703-1764
(510) 666-9552
(510) 666-9099
Mailing address
1931 CENTER ST, BERKELEY, CA 94704-1105
(510) 666-9552
(510) 666-0987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
00
CA
Enumeration date
12/06/2018
Last updated
12/06/2018
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