Individual
MISS ALMA LISETTE ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 FAIRMONT DR, SAN LEANDRO, CA 94578-1005
(510) 667-3010
Mailing address
2500 FAIRMONT DR, SAN LEANDRO, CA 94578-1005
(510) 667-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2010
Last updated
01/03/2022
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