Individual
MISS ASIA BILLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 OAKLAND AVE, OAKLAND, CA 94611-4567
(510) 658-9480
(510) 569-4589
Mailing address
629 OAKLAND AVE, OAKLAND, CA 94611-4567
(510) 658-9480
(510) 569-4589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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