Individual
AICHA CISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 E 12TH ST, OAKLAND, CA 94601-3424
(510) 269-9030
Mailing address
6035 OUTLOOK AVE, OAKLAND, CA 94605-1817
(929) 363-2049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
10/21/2024
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