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Deidra Cherie Bolton
Mental Health Counselor in Oakland, California
NPI 1174711212

Deidra Cherie Bolton is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Deidra Cherie Bolton practices in Oakland, CA. The NPI Number for Deidra Cherie Bolton is 1174711212 and holds a License No. (California).

The current practice location address for Deidra Cherie Bolton is 4321 Tompkins Ave, Oakland, CA and can be reached out via phone at 510-715-4082.

Location: 4321 Tompkins Ave, Oakland, CA, 94619-2820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174711212
Provider Name
Deidra Cherie Bolton
Credential
Provider Entity Type
Individual
Gender
Female
Address
4321 Tompkins Ave, Oakland, CA, 94619-2820
Phone Number
510-715-4082
Fax Number
Provider Enumeration Date
10/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4321 Tompkins Ave
City
Oakland
State
California
Zip
94619-2820
Phone Number
510-715-4082
Fax Number
person
Provider Business Mailing Address Details
Address
4321 Tompkins Ave
City
Oakland
State
California
Zip
94619-2820
Phone Number
510-715-4082
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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