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Individual

PROF. ANEWMAY A DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C19981214

Contact information

Practice address
3408 ANDOVER ST, OAKLAND, CA 94609-2817
(510) 547-1531
(510) 547-1543
Mailing address
3408 ANDOVER ST, OAKLAND, CA 94609-2817
(510) 547-1531
(510) 547-1543

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C19981214
CA

Other

Enumeration date
02/09/2007
Last updated
03/28/2024
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