Individual
MS. ALVA ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1050 NORTHGATE DR, SUITE P. 12, SAN RAFAEL, CA 94903-2526
(415) 454-8218
Mailing address
1050 NORTHGATE DR, SUITE P. 12, SAN RAFAEL, CA 94903-2526
(415) 454-8218
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
29428
CA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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