Individual
ANTONETTE EBRO CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 LINDEN ST, OAKLAND, CA 94607-2538
(510) 882-7791
Mailing address
407 ORANGE ST APT 401, OAKLAND, CA 94610-2903
(925) 326-5075
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
09/23/2024
Last updated
03/24/2026
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