Individual
ALSHWENBEAR CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 S EL CAMINO REAL STE 200, SAN MATEO, CA 94403-2382
(650) 372-4080
Mailing address
751 CAMINO PLZ, SUITE A, SAN BRUNO, CA 94066-3401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/20/2020
Last updated
11/03/2020
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