Individual
ALEXIS SORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1466 LINCOLN AVE, SAN RAFAEL, CA 94901-2021
(415) 457-3755
Mailing address
1466 LINCOLN AVE, SAN RAFAEL, CA 94901-2021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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