Individual
MS. ALICE LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
2280 SAN PABLO AVE, OAKLAND, CA 94612-1321
(510) 899-4200
Mailing address
33 SEQUOYAH VIEW DR, OAKLAND, CA 94605-4906
(510) 495-7117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MFT29878
CA
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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