Individual
CHARAE MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 DIVISADERO ST STE 300, SAN FRANCISCO, CA 94117-2242
(415) 551-0975
Mailing address
632 W 11TH ST STE 119, TRACY, CA 95376-3860
(209) 237-2484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225X00000X
Occupational Therapist
OT20713
CA
Other
Enumeration date
02/28/2019
Last updated
02/13/2020
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