Individual
AMBER LEE MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 238-5020
(510) 261-3584
Mailing address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 238-5020
(510) 261-3584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW76562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ASW28529
BOARD OF BEHAVIORAL SCIENCES
CA
01
—
LCSW76562
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
02/21/2007
Last updated
03/12/2024
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