Individual
ALAIYA MINYONNE KENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 MARKET ST, SAN FRANCISCO, CA 94103-1589
(415) 863-3883
Mailing address
1111 MARKET ST, SAN FRANCISCO, CA 94103-1589
(415) 863-3883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15732-RAC
CA
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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