Individual
MR. CALEB ANDREW HERVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(707) 429-4440
Mailing address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
74524
CA
104100000X
Social Worker
Primary
114858
CA
104100000X
Social Worker
74524
CA
1041C0700X
Clinical Social Worker
112715
CA
1041C0700X
Clinical Social Worker
114858
CA
Other
Enumeration date
02/23/2007
Last updated
06/22/2023
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