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Ms. Marissa Dudeck
Mental Health Counselor in Oakland, California
NPI 1306227996

Marissa Dudeck is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Marissa Dudeck practices in Oakland, CA. The NPI Number for Marissa Dudeck is 1306227996 and holds a License No. (California).

The current practice location address for Marissa Dudeck is 280 17Th St, Oakland, CA and can be reached out via phone at 510-352-9890 and via fax at 510-352-9981.

Location: 280 17Th St, Oakland, CA, 94612-4124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306227996
Provider Name
Marissa Dudeck
Credential
Provider Entity Type
Individual
Gender
Female
Address
280 17Th St, Oakland, CA, 94612-4124
Phone Number
510-352-9890
Fax Number
510-352-9981
Provider Enumeration Date
06/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1411033663 01 CA EMPLOYER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
280 17Th St
City
Oakland
State
California
Zip
94612-4124
Phone Number
510-352-9890
Fax Number
510-352-9981
person
Provider Business Mailing Address Details
Address
280 17Th St
City
Oakland
State
California
Zip
94612-4124
Phone Number
510-352-9890
Fax Number
510-352-9981
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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