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Individual

ANDREW JENNATI CHAMPION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3800 COOLIDGE AVE, OAKLAND, CA 94602-3311
(510) 323-3942
Mailing address
3800 COOLIDGE AVE, OAKLAND, CA 94602-3311
(510) 323-3942

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
10/07/2010
Last updated
08/26/2025
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