| Ann Martin Center | |
|
1375 55th St Emeryville CA 94608-2609 | |
| (510) 655-7880 | |
| (510) 655-3379 |
| Full Name | Ann Martin Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1375 55th St, Emeryville, California |
| Authorized Official Name and Position | Hasse Leonard-pagel (DIRECTOR OF CLINICAL PROGRAMS) |
| Authorized Official Contact | 5106557880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Martin Center 1375 55th St Emeryville CA 94608-2609 Ph: (510) 655-7880 | Ann Martin Center 1375 55th St Emeryville CA 94608-2609 Ph: (510) 655-7880 |
| NPI Number | 1992923221 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992923221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 140000152 (California) | Primary |
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