Individual
MRS. BRYANNA RUTH EISENHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609
(510) 653-5040
(510) 653-6475
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
(510) 653-6475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
11/16/2021
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