Individual
ADELA MARTINEZ BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, RADT
Contact information
Practice address
100 MASONIC AVE, SAN FRANCISCO, CA 94118-4415
(415) 559-9118
Mailing address
100 MASONIC AVE, SAN FRANCISCO, CA 94118-4415
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
000
—
Enumeration date
10/09/2020
Last updated
10/09/2020
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