Individual
AJAY DEVEN DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 HARRISON ST, OAKLAND, CA 94612-3811
(510) 788-0876
Mailing address
6129 SUTTER AVE, RICHMOND, CA 94804-5301
(941) 524-2371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
111613
CA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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