Individual
EBONY JOY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
887 POTRERO AVE, SAN FRANCISCO, CA 94110-2869
(707) 558-5422
Mailing address
1670 12TH ST, OAKLAND, CA 94607-1448
(707) 558-5422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
07/15/2019
Last updated
11/24/2025
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