Individual
MR. ARCHIEBALD WOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(415) 256-9995
(415) 256-9998
Mailing address
881 69TH AVE APT 209, OAKLAND, CA 94621-3326
(415) 256-9995
(415) 256-9998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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