Individual
ANNA MARY AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 COOLIDGE AVE, OAKLAND, CA 94602-3399
(510) 482-2244
Mailing address
3800 COOLIDGE AVE, OAKLAND, CA 94602-3399
(510) 482-2244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YM0800X
CA
106H00000X
Marriage & Family Therapist
Primary
—
—
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2021
Last updated
07/24/2024
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