Individual
MELODY OR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1926 E 19TH ST, OAKLAND, CA 94606-4126
(510) 879-3212
Mailing address
1926 E 19TH ST, OAKLAND, CA 94606-4126
(510) 879-3212
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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