ALEXANDRIA VANESSA PEREZ MPA
NPI 1508406398
Counselor - Addiction (Substance Use Disorder) in San Mateo, CA
Active since January 09, 2020
About Alexandria Vanessa Perez Mpa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRIA VANESSA PEREZ MPA (NPI 1508406398) is an individual addiction (substance use disorder) provider in San Mateo, California and active in the NPI registry since January 2020.
NPPES Registry Identity
NPI1508406398
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameALEXANDRIA VANESSA PEREZCredential: MPA
Location Address222 W 39TH AVESan Mateo, CA 94403-4364
Mailing Address830 Cayuga AveSan Francisco, CA 94112-2510 · (415) 846-7301
Phone(650) 802-6518
Fax(650) 802-6440
Sole ProprietorNo
Enumeration DateJanuary 9, 2020
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1508406398 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
222 W 39TH AVE, San Mateo, CA 94403
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508406398, enumerated as an "individual" on January 09, 2020.
The provider is located at 222 W 39TH AVE SAN MATEO, CA 94403 and the phone number is (650) 802-6518.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).