Individual
MRS. SUSANNE RENEE O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
777 DAVIS ST STE 300, SAN LEANDRO, CA 94577-6923
(510) 241-7191
Mailing address
777 DAVIS ST STE 300, SAN LEANDRO, CA 94577-6923
(510) 241-7191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7336
CA
101YP2500X
Professional Counselor
Primary
20947
CA
390200000X
Student in an Organized Health Care Education/Training Program
7336
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/09/2017
Last updated
10/24/2025
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