| Two Tree Counseling Licensed Clinical Social Worker Corporation | |
|
445 Bellevue Ave Ste 100 Oakland CA 94610-4923 | |
| (510) 545-2076 | |
| (510) 768-8658 |
| Full Name | Two Tree Counseling Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 445 Bellevue Ave Ste 100, Oakland, California |
| Authorized Official Name and Position | Jay Eli Williams (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5105452076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Tree Counseling Licensed Clinical Social Worker Corporation 1177 Bayview Ave Oakland CA 94610-4034 Ph: (415) 332-9585 | Two Tree Counseling Licensed Clinical Social Worker Corporation 445 Bellevue Ave Ste 100 Oakland CA 94610-4923 Ph: (510) 545-2076 |
| NPI Number | 1710570379 |
|---|---|
| Provider Enumeration Date | 02/15/2021 |
| Last Update Date | 02/15/2021 |
| Certification Date | 02/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710570379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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