Provider Demographics
NPI:1811312507
Name:ALAMEDA COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:ALAMEDA COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDREA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BUTLER ACUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:510-227-6404
Mailing Address - Street 1:1700 PARK ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1416
Mailing Address - Country:US
Mailing Address - Phone:510-227-6404
Mailing Address - Fax:510-227-6408
Practice Address - Street 1:1700 PARK ST
Practice Address - Street 2:SUITE 220
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1416
Practice Address - Country:US
Practice Address - Phone:510-227-6404
Practice Address - Fax:510-227-6408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46716106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty