Alexander De Jesus Chavarria
Social Worker, Clinical in San Rafael, CA. Individual provider (NPI-1).
NPI number1013529338
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1013529338
- Entity type
- Individual (NPI-1)
- Name
- Alexander De Jesus Chavarria
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2020
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 131368 | CA | Yes |
Practice location
3110 Kerner BlvdSan Rafael, CA 94901-5411
Phone 415-448-1500
Mailing address
3110 Kerner BlvdSan Rafael, CA 94901-5411
Phone 415-448-1500
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