Organization
ANN MARTIN CENTER
Active
Other names
Piedmont Avenue Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSE LEONARD-PAGEL PHD (DIRECTOR OF CLINICAL PROGRAMS)
(510) 655-7880
Entity
Organization
Contact information
Practice address
4314 PIEDMONT AVE, OAKLAND, CA 94611
(510) 654-7377
Mailing address
1375 55TH ST, EMERYVILLE, CA 94608-2609
(510) 655-7880
(510) 655-3379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
140000152
CA
Other
Enumeration date
05/29/2007
Last updated
08/27/2018
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