Organization
IT'S COMPLICATED CONSULTATION SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNEKA WOOTEN LCSW (PYSCHOTHERAPIST)
(510) 829-9561
Entity
Organization
Contact information
Practice address
3220 SACRAMENTO ST, BERKELEY, CA 94702-2726
(510) 829-9561
Mailing address
1271 WASHINGTON AVE # 727, SAN LEANDRO, CA 94577-3646
(510) 829-9561
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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