Organization
FRED FINCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOUAMHILA CISSE (MENTAK HEALTH COUNSELOR)
(510) 333-2247
Entity
Organization
Contact information
Practice address
3721 13TH AVE, OAKLAND, CA 94610-2819
(510) 333-2247
Mailing address
3712 13TH AVE, OAKLAND, CA 94610
(510) 333-2247
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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