Individual
ANASTASIA GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
3207 LAKESHORE AVE, OAKLAND, CA 94610
(510) 224-4462
Mailing address
3207 LAKESHORE AVE, OAKLAND, CA 94610-2719
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ASW72631
CA
101YM0800X
Mental Health Counselor
ASW72631
CA
Other
Enumeration date
03/25/2015
Last updated
08/20/2019
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