Individual
BATYA SALLY BROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
682 BRIERGATE WAY, HAYWARD, CA 94544-7245
(510) 487-2910
(510) 487-2916
Mailing address
682 BRIERGATE WAY, HAYWARD, CA 94544-7245
(510) 487-2910
(510) 487-2916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
010081AN
CA
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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