Individual
MS. BEVERLY MARIA GOURNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 INTERNATIONAL BLVD, OAKLAND, CA 94601-3005
(510) 536-4764
(510) 536-4766
Mailing address
1319 FRUITVALE AVE, OAKLAND, CA 94601-2927
(510) 535-2303
(510) 535-2346
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61822
CA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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