Individual
GABRIELLE AGIN-LIEBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
286 SANTA CLARA AVE, OAKLAND, CA 94610-2624
(510) 982-5228
Mailing address
286 SANTA CLARA AVE, OAKLAND, CA 94610-2624
(510) 982-5228
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY32972
CA
Other
Enumeration date
11/14/2022
Last updated
12/05/2022
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