Emily Alexia Azmitia

Individual provider Active NPI Marriage & Family Therapist · Berkeley, CA

NPI 1245072255 · NPPES record last updated Sep 17, 2025

Key facts

NPI
1245072255
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
158063 (CA)
Practice address
3200 Adeline St
Berkeley, CA 94703-2407
Phone
(510) 601-0203
Fax
(510) 601-4002
NPI assigned
Jun 10, 2024
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

State licenses

LicenseStateTypeSpecialty
158063CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 158063 CA Yes

Addresses

Primary practice location

3200 Adeline St
Berkeley, CA 94703-2407

Mailing address

1336 Fountain Springs Cir
Danville, CA 94526-5626

Other providers in Berkeley, CA

All providers in Berkeley, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.