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Organization
TRAUMA & STRESS RECOVERY, A MEDICAL GROUP INC.
Active
Organization
TRAUMA & STRESS RECOVERY, A MEDICAL GROUP INC.
Active
Other names
Trauma & Stress Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN ASUELO (PRACTICE ADMINISTRATOR)
(415) 346-8640
Entity
Organization
Contact information
Practice address
500 12TH ST STE 110, OAKLAND, CA 94607-4005
(415) 346-8640
(415) 563-2273
Mailing address
500 12TH ST STE 110, OAKLAND, CA 94607-4005
(415) 346-8640
(415) 563-2273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
07/20/2020
Last updated
07/28/2020
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