Individual
CHARLETTE VINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 UNIVERSITY AVE STE 2A, BERKELEY, CA 94704-3263
(510) 649-1930
Mailing address
1918 UNIVERSITY AVE STE 2A, BERKELEY, CA 94704-3263
(510) 649-1930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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