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Jessica Wynn-grant
Mental Health Counselor in Oakland, California
NPI 1053820662

Jessica Wynn-grant is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Jessica Wynn-grant practices in Oakland, CA. The NPI Number for Jessica Wynn-grant is 1053820662 and holds a License No. 92410 (California).

The current practice location address for Jessica Wynn-grant is 1266 14Th St, Oakland, CA and can be reached out via phone at 510-273-4700.

Location: 1266 14Th St, Oakland, CA, 94607-2247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053820662
Provider Name
Jessica Wynn-grant
Credential
Provider Entity Type
Individual
Gender
Female
Address
1266 14Th St, Oakland, CA, 94607-2247
Phone Number
510-273-4700
Fax Number
Provider Enumeration Date
09/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1266 14Th St
City
Oakland
State
California
Zip
94607-2247
Phone Number
510-273-4700
Fax Number
person
Provider Business Mailing Address Details
Address
1266 14Th St
City
Oakland
State
California
Zip
94607-2247
Phone Number
510-273-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
92410 (California)
Definition
Definition to come...
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