Individual
ANGELA M FAUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
2828 FORD ST, OAKLAND, CA 94601-2114
(510) 268-3770
Mailing address
2828 FORD ST, OAKLAND, CA 94601-2114
(510) 268-3770
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
154555
CA
Other
Enumeration date
06/18/2025
Last updated
07/23/2025
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