Individual
MR. LECLETUS GRIFFIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 569-4589
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 569-4589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APCC7490
CA
101YP2500X
Professional Counselor
Primary
APCC21805
CA
Other
Enumeration date
03/06/2020
Last updated
04/29/2026
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