Individual
MADELEINE WELTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 381-2171
Mailing address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 381-2171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
09/19/2024
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