Individual provider · Type 1 NPI

Alexis Tata

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1700443637 Active

Practice location

815 Buena Vista Ave W
San Francisco, CA 94117-4108

Mailing address

1563 Mission St
San Francisco, CA 94103-2543

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1700443637

Alexis Tata's National Provider Identifier is 1700443637, issued on May 27, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on May 27, 2019.