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Keatonia Isa Hall
Mental Health Counselor in Oakland, California
NPI 1497303937

Keatonia Isa Hall is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Keatonia Isa Hall practices in Oakland, CA. The NPI Number for Keatonia Isa Hall is 1497303937 and holds a License No. (California).

The current practice location address for Keatonia Isa Hall is 6333 Telegraph Ave, Oakland, CA and can be reached out via phone at 510-923-1099.

Location: 6333 Telegraph Ave, Oakland, CA, 94609-1359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497303937
Provider Name
Keatonia Isa Hall
Credential
Provider Entity Type
Individual
Gender
Female
Address
6333 Telegraph Ave, Oakland, CA, 94609-1359
Phone Number
510-923-1099
Fax Number
Provider Enumeration Date
08/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0111 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
6333 Telegraph Ave
City
Oakland
State
California
Zip
94609-1359
Phone Number
510-923-1099
Fax Number
person
Provider Business Mailing Address Details
Address
6333 Telegraph Ave
City
Oakland
State
California
Zip
94609-1359
Phone Number
510-923-1099
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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