| Eileen Colorado Licensedclinical Socialworker Professional Corporation | |
|
1300 Clay St Ste 600 Oakland CA 94612-1427 | |
| (702) 241-1249 | |
| Not Available |
| Full Name | Eileen Colorado Licensedclinical Socialworker Professional Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1300 Clay St Ste 600, Oakland, California |
| Authorized Official Name and Position | Eileen Ellsworth Colorado (OWNER) |
| Authorized Official Contact | 7022411249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eileen Colorado Licensedclinical Socialworker Professional Corporation 1067 Ridge Park Dr Concord CA 94518-1434 Ph: (702) 241-1249 | Eileen Colorado Licensedclinical Socialworker Professional Corporation 1300 Clay St Ste 600 Oakland CA 94612-1427 Ph: (702) 241-1249 |
| NPI Number | 1669038642 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 05/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669038642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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