Organization
OAKLAND UNIFIED SCHOOL DISTRICT
Active
Other names
Roots Academy
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE SARAH HIGGINS REIS LCSW (CLINICAL SUPERVISOR)
(510) 874-3716
Entity
Organization
Contact information
Practice address
1390 66TH AVE, OAKLAND, CA 94621-3506
(510) 639-3226
Mailing address
2850 WEST ST, OAKLAND, CA 94608-4536
(510) 874-3716
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
21739 LCSW
CA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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