Individual
ALEXIS ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW, MSW
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 871-4900
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ASW96378
CA
101YM0800X
Mental Health Counselor
ASW96378
CA
104100000X
Social Worker
ASW96378
CA
1041C0700X
Clinical Social Worker
Primary
ASW96378
CA
Other
Enumeration date
09/03/2020
Last updated
09/21/2020
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