Individual
MS. SANDRA DENISE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA 111
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 826-7235
(916) 875-0877
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 826-7235
(510) 569-4589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
168861
CA
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
372600000X
Adult Companion
—
CA
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168861
CERTIFIED AOD COUNSELOR
CA
Enumeration date
10/04/2017
Last updated
07/22/2025
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