person
Ms. Ahlayah Davianah Shabazz I
Mental Health Counselor in Alameda, California
NPI 1235771106

Ahlayah Davianah Shabazz I is a Mental Health Counselor based in Alameda, CA and is specialized in Mental Health. Ahlayah Davianah Shabazz I practices in Alameda, CA. The NPI Number for Ahlayah Davianah Shabazz I is 1235771106 and holds a License No. 101YM0800X (California).

The current practice location address for Ahlayah Davianah Shabazz I is 1025 Atlantic Ave, Alameda, CA and can be reached out via phone at 510-268-8120.

Location: 1025 Atlantic Ave, Alameda, CA, 94501-1189
person
Provider Profile Details
NPI Number
1235771106
Provider Name
Ahlayah Davianah Shabazz I
Credential
Provider Entity Type
Individual
Gender
Female
Address
1025 Atlantic Ave, Alameda, CA, 94501-1189
Phone Number
510-268-8120
Fax Number
Provider Enumeration Date
10/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XDJ95973531E 05 CA
institution
Provider Business Practice Location Address Details
Address
1025 Atlantic Ave
City
State
Zip
94501-1189
Phone Number
510-268-8120
Fax Number
person
Provider Business Mailing Address Details
Address
1025 Atlantic Ave
City
State
Zip
94501-1189
Phone Number
510-268-8120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
101YM0800X (California)
Definition
Definition to come...
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