Individual
ALICE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3301 E 12TH ST, SUITE 259, OAKLAND, CA 94601-3424
(510) 368-2051
(510) 269-9031
Mailing address
3301 E 12TH ST, SUITE 259, OAKLAND, CA 94601-3424
(510) 368-2051
(510) 269-9031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
IMF95027
CA
106H00000X
Marriage & Family Therapist
IMF95027
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IMF95027
CA
Other
Enumeration date
07/20/2009
Last updated
02/28/2018
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