Healthcare Provider Details

I. General information

NPI: 1871742288
Provider Name (Legal Business Name): SASHA DANIELLE ALBANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 OAK GROVE RD
CONCORD CA
94518-3225
US

IV. Provider business mailing address

2171 PACIFIC AVE APT 203
SAN FRANCISCO CA
94115-1574
US

V. Phone/Fax

Practice location:
  • Phone: 925-603-1900
  • Fax: 925-685-6560
Mailing address:
  • Phone: 415-515-2409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: