Gaila Marie Allen, MA/MFT

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

NPI 1487958856 · NPPES record last updated Dec 29, 2010

Key facts

NPI
1487958856
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC28242 (CA)
Practice address
2550 Dana St
#2B
Berkeley, CA 94704-2878
Phone
(510) 898-1800
Fax
(510) 898-1801
NPI assigned
Dec 29, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC28242CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC28242 CA Yes

Addresses

Primary practice location

2550 Dana St
#2B
Berkeley, CA 94704-2878

Mailing address

2550 Dana St
#2B
Berkeley, CA 94704-2878
Phone (510) 898-1800

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.