Healthcare Provider Details

I. General information

NPI: 1164981494
Provider Name (Legal Business Name): GENISIS SARAHI FRANCO ALVAREZ LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2019
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39159 PASEO PADRE PKWY STE 121
FREMONT CA
94538-1600
US

IV. Provider business mailing address

PO BOX 3242
CERRITOS CA
90703-3242
US

V. Phone/Fax

Practice location:
  • Phone: 510-952-1190
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number23607
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: