Individual
MS. BABALWA IFE KWANELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3671 GRAND AVE, OAKLAND, CA 94610-2009
(510) 355-0351
(510) 355-0351
Mailing address
PO BOX 3222, BERKELEY, CA 94703-0222
(510) 355-0351
(510) 355-0351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12258526
CAQH
CA
Enumeration date
03/12/2007
Last updated
10/25/2012
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