Individual
DANA ANNMARIE CHEATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 613-0330
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 613-0330
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
A042240916
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A042240916
AOD COUNSELOR
CA
Enumeration date
03/09/2018
Last updated
08/23/2023
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