Individual
DIEGO TOMAS CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 269-9030
Mailing address
888 VERMONT ST APT 102, OAKLAND, CA 94610-2151
(510) 500-6808
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
1041C0700X
Clinical Social Worker
—
CA
Other
Enumeration date
09/19/2025
Last updated
10/24/2025
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