Provider Demographics
NPI:1205924370
Name:DANIELS-STEWART, ALFREDA (MFT)
Entity type:Individual
Prefix:MS
First Name:ALFREDA
Middle Name:
Last Name:DANIELS-STEWART
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23933 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-5248
Mailing Address - Country:US
Mailing Address - Phone:510-583-1559
Mailing Address - Fax:
Practice Address - Street 1:23933 2ND ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-5248
Practice Address - Country:US
Practice Address - Phone:510-583-1559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40794106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist