Individual
ANNISSA ROSARIO KAMALANI BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 SUMMIT ST STE 2D, OAKLAND, CA 94609-3416
(510) 982-1000
(510) 210-9310
Mailing address
2940 SUMMIT ST STE 2D, OAKLAND, CA 94609-3416
(510) 982-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2020
Last updated
05/29/2024
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