| A Sober Choice | |
|
1271 Washington Ave San Leandro CA 94577-3646 | |
| (510) 610-9360 | |
| (510) 969-7932 |
| Full Name | A Sober Choice |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1271 Washington Ave, San Leandro, California |
| Authorized Official Name and Position | Najjuma Zakiya Shurn (PRESIDENT/CEO) |
| Authorized Official Contact | 5104201800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Sober Choice 1271 Washington Ave # 445 San Leandro CA 94577-3646 Ph: (510) 610-9360 | A Sober Choice 1271 Washington Ave San Leandro CA 94577-3646 Ph: (510) 610-9360 |
| NPI Number | 1083194674 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083194674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY27577 (California) | Primary |
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