Organization
GEM PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLOW BANKS (PRESIDENT)
(510) 457-1755
Entity
Organization
Contact information
Practice address
2340 WARD ST STE 201, BERKELEY, CA 94705-1147
(510) 457-1755
Mailing address
2340 WARD ST STE 201, BERKELEY, CA 94705-1147
(510) 457-1755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
09/14/2023
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