Individual
AZAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 BROOKLYN BASIN WAY UNIT 662, OAKLAND, CA 94606-5280
(510) 646-0647
Mailing address
260 BROOKLYN BASIN WAY UNIT 662, OAKLAND, CA 94606-5280
(510) 646-0647
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
112623
CA
104100000X
Social Worker
Primary
112623
CA
1041C0700X
Clinical Social Worker
112623
CA
1041C0700X
Clinical Social Worker
SC61604892
WA
Other
Enumeration date
08/25/2020
Last updated
08/12/2026
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