Individual
JULIET NATALIE AI SMALL ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5299 COLLEGE AVE STE P, OAKLAND, CA 94618-2816
(510) 216-3988
Mailing address
PO BOX 8401, EMERYVILLE, CA 94662-0401
(510) 216-3988
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10166
CA
106H00000X
Marriage & Family Therapist
127880
CA
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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