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Individual

MS. ACACIA HASINA CHIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
431 30TH ST STE 210E, OAKLAND, CA 94609-3307
(510) 988-9878
Mailing address
2323 BROADWAY, OAKLAND, CA 94612-2414
(510) 988-9878

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary
LMFT111125
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00
00
CA
Enumeration date
12/01/2014
Last updated
01/23/2023
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