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Individual

ALYJAH NAVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.M.

Contact information

Practice address
914 MISSION AVE FL 3, SAN RAFAEL, CA 94901-6106
(415) 457-6964
Mailing address
PO BOX 4112, SAN RAFAEL, CA 94913-4112
(415) 233-0359

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/01/2007
Last updated
07/08/2007
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