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Individual

ASHANTA JISU REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7200 BANCROFT AVE STE 267, OAKLAND, CA 94605-2403
(510) 735-0864
(510) 746-1196
Mailing address
189 ADELE DR, VALLEJO, CA 94589-3253
(707) 712-5280

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171M00000X
Case Manager/Care Coordinator
Primary
CA

Other

Enumeration date
09/27/2019
Last updated
10/21/2024
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