Raissa Alvero
Individual provider Active NPI Marriage & Family Therapist · Berkeley, CA
NPI 1548944341 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1548944341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- AMFT131664 (CA)
- Practice address
- 2925 Shattuck Ave
Berkeley, CA 94705-1808 - Phone
- (510) 876-4029
- NPI assigned
- Jun 12, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT131664 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT131664 | CA | Yes |
Addresses
Primary practice location
2925 Shattuck Ave
Berkeley, CA 94705-1808
Mailing address
2925 Shattuck Ave
Berkeley, CA 94705-1808
Phone (510) 876-4029
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All providers in Berkeley, 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 Jun 12, 2023. 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.