| Psychosocial Therapy | |
|
1918 Bonita Ave Ste 200 Berkeley CA 94704-1014 | |
| (510) 288-6336 | |
| Not Available |
| Full Name | Psychosocial Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1918 Bonita Ave Ste 200, Berkeley, California |
| Authorized Official Name and Position | Luis Alfredo Cornejo (PRESIDENT) |
| Authorized Official Contact | 5102886336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychosocial Therapy 1918 Bonita Ave Ste 200 Berkeley CA 94704-1014 Ph: (510) 288-6336 | Psychosocial Therapy 1918 Bonita Ave Ste 200 Berkeley CA 94704-1014 Ph: (510) 288-6336 |
| NPI Number | 1134872971 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134872971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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