Individual
REINA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250A FAIRMONT DR # 705, SAN LEANDRO, CA 94578-3508
(510) 401-7511
Mailing address
1250A FAIRMONT DR # 705, SAN LEANDRO, CA 94578-3508
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PSB94028103
CA
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Enumeration date
03/02/2007
Last updated
07/22/2024
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