Individual
MS. ARIANNA VAEWSORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
680 63RD ST, OAKLAND, CA 94609-1218
(650) 804-8524
Mailing address
680 63RD ST, OAKLAND, CA 94609-1218
(650) 804-8524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW77550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LCSW77550
—
CA
Enumeration date
02/16/2023
Last updated
02/16/2023
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