| Journey Of Life Counseling And Assessment Services | |
|
1068 E 14th St San Leandro CA 94577-3731 | |
| (510) 463-1302 | |
| Not Available |
| Full Name | Journey Of Life Counseling And Assessment Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1068 E 14th St, San Leandro, California |
| Authorized Official Name and Position | Jaseon Outlaw (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 5104631302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Of Life Counseling And Assessment Services 1068 E 14th St San Leandro CA 94577-3731 Ph: (510) 463-1302 | Journey Of Life Counseling And Assessment Services 1068 E 14th St San Leandro CA 94577-3731 Ph: (510) 463-1302 |
| NPI Number | 1962824052 |
|---|---|
| Provider Enumeration Date | 01/09/2014 |
| Last Update Date | 01/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962824052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY23676 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | 53851 (California) | Secondary |
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