Organization
ALLEN TEMPLE HEALTH & SOCIAL SERVICES MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CROWELL (EXECUTIVE DIRECTOR)
(510) 544-8947
Entity
Organization
Contact information
Practice address
8501 INTERNATIONAL BLVD., C-105, OAKLAND, CA 94621-1549
(510) 544-8947
(510) 544-8918
Mailing address
8501 INTERNATIONAL BLVD., C-105, OAKLAND, CA 94621-1549
(510) 544-8947
(510) 544-8918
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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