Individual
TAISHI O. DUCHICELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
303 VAN BUREN AVE, OAKLAND, CA 94610-4340
(510) 268-3770
(510) 268-1073
Mailing address
1417 MYRTLE ST, APT B, OAKLAND, CA 94607-3270
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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