Individual
SEELEY FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2050 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 483-3030
(510) 483-2329
Mailing address
6561 MOKELUMNE AVE, OAKLAND, CA 94605-2210
(415) 577-0370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
809979
CA
Other
Enumeration date
03/14/2007
Last updated
05/02/2012
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