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440 Boulder Ct Suite 100b Pleasanton CA 94566-8314 | |
(925) 426-0501 | |
Not Available |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 440 Boulder Ct, Pleasanton, California |
Authorized Official Name and Position | Marcy Hawkins (DIRECTOR) |
Authorized Official Contact | 9254260501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5217 Pleasanton CA 94566-0417 Ph: (925) 426-0501 | 440 Boulder Ct Suite 100b Pleasanton CA 94566-8314 Ph: (925) 426-0501 |
NPI Number | 1952739724 |
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Provider Enumeration Date | 10/14/2013 |
Last Update Date | 10/14/2013 |
Identifier | Type | State | Issuer |
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1952739724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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