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Khaleel- Shane Deshawn Jett
Mental Health Counselor in San Leandro, California
NPI 1255893640

Khaleel- Shane Deshawn Jett is a Mental Health Counselor based in San Leandro, CA and is specialized in Mental Health. Khaleel- Shane Deshawn Jett practices in San Leandro, CA. The NPI Number for Khaleel- Shane Deshawn Jett is 1255893640 and holds a License No. (California).

The current practice location address for Khaleel- Shane Deshawn Jett is 2275 Arlington Dr, San Leandro, CA and can be reached out via phone at 510-317-1444.

Location: 2275 Arlington Dr, San Leandro, CA, 94578-1132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255893640
Provider Name
Khaleel- Shane Deshawn Jett
Credential
Provider Entity Type
Individual
Gender
Male
Address
2275 Arlington Dr, San Leandro, CA, 94578-1132
Phone Number
510-317-1444
Fax Number
Provider Enumeration Date
04/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2275 Arlington Dr
City
San Leandro
State
California
Zip
94578-1132
Phone Number
510-317-1444
Fax Number
person
Provider Business Mailing Address Details
Address
2275 Arlington Dr
City
San Leandro
State
California
Zip
94578-1132
Phone Number
510-317-1444
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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