Individual
ALEXANDRIA VANESSA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 802-6518
(650) 802-6440
Mailing address
830 CAYUGA AVE, SAN FRANCISCO, CA 94112-2510
(415) 846-7301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
06/21/2023
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