Healthcare Provider Details

I. General information

NPI: 1659162592
Provider Name (Legal Business Name): KRYSTOL ALPERT, PROFESSIONAL CLINICAL COUNSELOR, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 SAN PABLO AVE STE 9-3
ALBANY CA
94706-2275
US

IV. Provider business mailing address

1035 SAN PABLO AVE STE 9-3
ALBANY CA
94706-2275
US

V. Phone/Fax

Practice location:
  • Phone: 510-319-3822
  • Fax:
Mailing address:
  • Phone: 510-319-3822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KRYSTOL ALPERT
Title or Position: OWNER/CHIEF OPERATOR
Credential:
Phone: 510-319-3822