Individual
ALEXA OGHOBAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
2991 SHATTUCK AVE, 302, BERKELEY, CA 94705
(510) 900-9149
Mailing address
2991 SHATTUCK AVE, 302, BERKELEY, CA 94705
(510) 900-9149
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
79551
CA
106H00000X
Marriage & Family Therapist
Primary
97289
CA
Other
Enumeration date
01/13/2014
Last updated
03/19/2024
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