ALEXANDER SULLIVAN PROVDA

OAKLAND, CA
NPI1962220483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  148702)
Enumeration Date2024-10-02
Last Update Date2024-10-02
Business Address
ALEXANDER SULLIVAN PROVDA LMFT
5377 LOCKSLEY AVE
OAKLAND, CA 94618-1122
Phone number: 510-304-3328
Mailing Address
ALEXANDER SULLIVAN PROVDA LMFT
5377 LOCKSLEY AVE
OAKLAND, CA 94618-1122
Phone number: 510-304-3328
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