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Individual

ALEXANDER HAN STICKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MFTI

Contact information

Practice address
29 6TH ST, RICHMOND, CA 94801-3507
(323) 428-0206
Mailing address
2704 BUENA VISTA WAY, BERKELEY, CA 94708-2014
(323) 428-0206

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IMF75946
CA

Other

Enumeration date
08/20/2013
Last updated
12/01/2016
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