Individual
ALEXANDER FARWELL ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2615 ASHBY AVE, BERKELEY, CA 94705-2200
(510) 289-1001
Mailing address
2524 MILVIA ST, BERKELEY, CA 94704-2611
(510) 289-1001
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
150725
CA
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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