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Organization
FRED FINCH YOUTH CENTER
Active
Organization
FRED FINCH YOUTH CENTER
Active
Other names
Fred Finch Youth Center-CASS
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
3434 GROVE ST, LEMON GROVE, CA 91945-1812
(619) 281-3706
Mailing address
3800 COOLIDGE AVE, OAKLAND, CA 94602-3311
(510) 482-2244
(510) 488-1960
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00113
LEGAL ENTITY NUMBER
CA
Enumeration date
02/22/2007
Last updated
09/23/2016
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