Individual
CALVIN HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4368 LINCOLN AVE, OAKLAND, CA 94602-2529
(510) 531-3111
Mailing address
4368 LINCOLN AVE, OAKLAND, CA 94602-2529
(510) 531-3111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
B3844187
CA
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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