Individual
ALTHEA EARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5957 SHATTUCK AVE, OAKLAND, CA 94609-1434
(415) 801-4717
Mailing address
5957 SHATTUCK, OAKLAND, CA 94609
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85395
CA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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