Individual
BONNIJEAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 HARRISON ST, OAKLAND, CA 94612-3811
(510) 444-3344
Mailing address
268 VIA MONTE, WALNUT CREEK, CA 94598-3542
(925) 788-1008
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
103TP2700X
CA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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