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Organization
SANKOFA COMMUNITY COUNSELING, INC
Active
Organization
SANKOFA COMMUNITY COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LA TANYA ALICIA TAKLA LMFT, LPCC (EXECUTIVE DIRECTOR)
(650) 454-6109
Entity
Organization
Contact information
Practice address
3705 HAVEN AVE, STE 115, MENLO PARK, CA 94025-1011
(650) 454-6109
(650) 231-2633
Mailing address
PO BOX 3082, REDWOOD CITY, CA 94064-3082
(650) 454-6109
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MFC 49566, LPC 247
CA
251S00000X
Community/Behavioral Health Agency
Primary
MFC 49566, LPC 247
CA
Other
Enumeration date
03/27/2014
Last updated
07/30/2015
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