Individual
DR. AMELIA GABRIELLE JAYANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2940 SUMMIT ST STE 2D, OAKLAND, CA 94609-3416
(713) 859-7703
Mailing address
2940 SUMMIT ST STE 2D, OAKLAND, CA 94609-3416
(713) 859-7703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
33674
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2015
Last updated
08/16/2024
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