Healthcare Provider Details

I. General information

NPI: 1316675705
Provider Name (Legal Business Name): KAREN HARBER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2022
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 THE ALAMEDA STE 2
BERKELEY CA
94707-2301
US

IV. Provider business mailing address

919 THE ALAMEDA STE 2
BERKELEY CA
94707-2301
US

V. Phone/Fax

Practice location:
  • Phone: 510-526-7080
  • Fax:
Mailing address:
  • Phone: 510-526-7080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW7458
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: