Individual
BERNADETTE JEANNE STAFFORD-YAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
2323 HEARST AVE, BERKELEY, CA 94709
(510) 526-6200
(510) 526-1507
Mailing address
2323 HEARST AVE, BERKELEY, CA 94709-1319
(510) 219-2837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
B00004400126
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI34750122
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1344330419
CA
Other
Enumeration date
06/10/2019
Last updated
01/07/2026
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