Individual
BITA RAQUELLE SHOOSHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC, LMFT
Contact information
Practice address
3225 LAKESHORE AVE, OAKLAND, CA 94610-2719
(401) 500-6319
Mailing address
5000 MACARTHUR BLVD # 9703, OAKLAND, CA 94613-1301
(401) 500-6319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00619
RI
106H00000X
Marriage & Family Therapist
MFC 42182
CA
Other
Enumeration date
02/27/2008
Last updated
09/25/2019
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