Individual
MR. ALI DA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 28TH ST, OAKLAND, CA 94609-3602
(510) 273-4900
Mailing address
451 28TH ST, OAKLAND, CA 94609-3602
(510) 273-4900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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