Individual provider · Type 1 NPI

Alexis Bustamante

Mental Health Counselor · Oakland, CA

NPI number 1548866148 Active

Practice location

401 Roland Way Ste 100
Oakland, CA 94621-2034

Call (510) 746-2800 Map

Fax (510) 746-2810

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Counselor 101Y00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548866148

Alexis Bustamante's National Provider Identifier is 1548866148, issued on Dec 9, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Jan 15, 2021.