Individual
MRS. ADA M HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
445 BELLEVUE, SUITE 104, OAKLAND, CA 94610
(510) 834-4460
(510) 834-4460
Mailing address
1041 HARVARD RD, PIEDMONT, CA 94610
(510) 834-4462
(510) 834-4462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS3948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7072533
—
CA
05
—
CSW039480
—
CA
Enumeration date
11/03/2006
Last updated
07/08/2007
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