Individual
BRIASIA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 BANCROFT AVE STE 133, OAKLAND, CA 94605-2480
(510) 410-5702
Mailing address
7200 BANCROFT AVE STE 133, OAKLAND, CA 94605-2480
(510) 410-5702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
12/03/2024
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