Healthcare Provider Details

I. General information

NPI: 1568179786
Provider Name (Legal Business Name): TONALLI COUNSELING AND WELLNESS A LICENSED CLINICAL SOCIAL WORKER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1844 SAN MIGUEL DR STE 306A
WALNUT CREEK CA
94596-8610
US

IV. Provider business mailing address

2001 ADDISON ST STE 300
BERKELEY CA
94704-1165
US

V. Phone/Fax

Practice location:
  • Phone: 510-213-8434
  • Fax:
Mailing address:
  • Phone: 510-213-8434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ADRIANA MARTINEZ
Title or Position: FOUNDER & CLINICAL DIRECTOR
Credential: LCSW
Phone: 510-213-8434