Individual
MACY KHANGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 17TH ST STE 200, OAKLAND, CA 94612-2835
(510) 433-8600
Mailing address
666 25TH ST, OAKLAND, CA 94612-1102
(415) 264-5059
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC18204
CA
Other
Enumeration date
05/25/2023
Last updated
01/15/2025
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