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Diana R Petoskey
Mental Health Counselor in Oakland, California
NPI 1437807559

Diana R Petoskey is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Diana R Petoskey practices in Oakland, CA. The NPI Number for Diana R Petoskey is 1437807559 and holds a License No. (California).

The current practice location address for Diana R Petoskey is 390 40Th St, Oakland, CA and can be reached out via phone at 510-613-0330.

Location: 390 40Th St, Oakland, CA, 94609-2633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437807559
Provider Name
Diana R Petoskey
Credential
Provider Entity Type
Individual
Gender
Female
Address
390 40Th St, Oakland, CA, 94609-2633
Phone Number
510-613-0330
Fax Number
Provider Enumeration Date
03/17/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D8391600 05 CA
institution
Provider Business Practice Location Address Details
Address
390 40Th St
City
Oakland
State
California
Zip
94609-2633
Phone Number
510-613-0330
Fax Number
person
Provider Business Mailing Address Details
Address
390 40Th St
City
Oakland
State
California
Zip
94609-2633
Phone Number
510-613-0330
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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