Individual
ANGEL CANNADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3408 ANDOVER ST, OAKLAND, CA 94609
(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
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
06/06/2018
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