Individual
ALI KOOCHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39465 PASEO PADRE PKWY, ST 2100, FREMONT, CA 94538-5350
(510) 745-9159
Mailing address
39465 PASEO PADRE PKWY, ST 2100, FREMONT, CA 94538-5350
(510) 745-9159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC10786
MD
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/22/2016
Last updated
08/08/2024
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