Individual
AMELIA M. HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7200 BANCROFT AVE STE 125D, OAKLAND, CA 94605-2415
(510) 777-3890
Mailing address
7200 BANCROFT AVE STE 125D, OAKLAND, CA 94605-2415
(510) 777-3890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS17630
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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