Amelia Quraisy Arifin
Individual provider Active NPI Marriage & Family Therapist · San Pablo, CA
NPI 1104353523 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1104353523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 142615 (CA)
- Practice address
- 13585 San Pablo Ave
San Pablo, CA 94806-3863 - Phone
- (510) 942-4600
- NPI assigned
- May 16, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 142615 | CA | Yes |
Addresses
Primary practice location
13585 San Pablo Ave
San Pablo, CA 94806-3863
Mailing address
13585 San Pablo Ave
San Pablo, CA 94806-3863
Phone (510) 317-1444
Other providers in San Pablo, CA
- Anka Bahavioral Heath, Inc.
- Anka Behavioral Health,Inc.
- Steven Louis Anton
- Tara Apriletti
- Saleena M Arias
- Stephen B. Arnold
- Angelica Beatriz Arredondo
- Art of Care Therapy, a Marriage & Family Therapy Co.
- Vera J. Ash
- Aspiranet Welcome Home Baby
All providers in San Pablo, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.