Clinton Avalos
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Berkeley, CA
NPI 1679717110 · NPPES record last updated Apr 28, 2009
Key facts
- NPI
- 1679717110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1931 Center St
Berkeley, CA 94704-1105 - Phone
- (510) 666-9552
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1931 Center St
Berkeley, CA 94704-1105
Mailing address
1931 Center St
Berkeley, CA 94704-1105
Other providers in Berkeley, CA
- Marvin Au
- Rebecca Au
- Sara Au
- Robert Aude
- Jennifer Ault
- Sharon Joy Avesar
- Isabel Victoria Avila Saiter
- David Raymond Avila
- Ana G Aviles
- Andrew Aviles
All providers in Berkeley, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2009. 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.