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Organization
FRED FINCH YOUTH CENTER
Active
Organization
FRED FINCH YOUTH CENTER
Active
Other names
Fred Finch Youth Center-Oakland Technical School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS N ALEXANDER LCSW (PRESIDENT AND CEO)
(510) 482-2244
Entity
Organization
Contact information
Practice address
4351 BROADWAY, OAKLAND, CA 94611-4612
(510) 879-3050
Mailing address
3800 COOLIDGE AVE, OAKLAND, CA 94602-3311
(510) 482-2244
(510) 488-1960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
NULL
103TP0016X
Prescribing (Medical) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
09/23/2016
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