Healthcare Provider Details
I. General information
NPI: 1275889537
Provider Name (Legal Business Name): ALEXANDRA POST JAMALI L.C.S.W
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/24/2012
Last Update Date: 04/29/2020
Certification Date: 04/29/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3867 HOWE ST
OAKLAND CA
94611-5343
US
IV. Provider business mailing address
3867 HOWE STREET SUITE 4
OAKLAND CA
94611-0001
US
V. Phone/Fax
- Phone: 510-859-8854
- Fax:
- Phone: 510-859-8854
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 71159 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 71159 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: