Organization
FRED FINCH YOUTH CENTER
Active
Other names
Fred Finch Youth & Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS N. ALEXANDER LCSW (PRESIDENT & CEO)
(510) 482-2244
Entity
Organization
Contact information
Practice address
3740 COOLIDGE AVE, OAKLAND, CA 94602-3311
(510) 482-2244
(510) 488-1960
Mailing address
3800 COOLIDGE AVE, OAKLAND, CA 94602-3311
(510) 482-2244
(510) 488-1960
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163W00000X
Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011400218
DEPARTMENT OF SOCIAL SERVICES, COMMUNITY CARE LICENSING
CA
Enumeration date
09/28/2021
Last updated
07/28/2022
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