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Colleen Mica Stumpf
Professional Counselor in San Leandro, California
NPI 1649939315

Colleen Mica Stumpf is a Professional Counselor based in Oakland, CA and is specialized in Professional. Colleen Mica Stumpf practices in San Leandro, CA. The NPI Number for Colleen Mica Stumpf is 1649939315 and holds a License No. (California).

The current practice location address for Colleen Mica Stumpf is 2251 Bancroft Ave, San Leandro, CA and can be reached out via phone at 510-844-6752.

Location: 2251 Bancroft Ave, San Leandro, CA, 94619-0964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649939315
Provider Name
Colleen Mica Stumpf
Credential
Provider Entity Type
Individual
Gender
Female
Address
2251 Bancroft Ave, San Leandro, CA, 94619-0964
Phone Number
510-844-6752
Fax Number
Provider Enumeration Date
12/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2251 Bancroft Ave
City
San Leandro
State
California
Zip
94578
Phone Number
510-844-6752
Fax Number
person
Provider Business Mailing Address Details
Address
2251 Bancroft Ave
City
San Leandro
State
California
Zip
94578
Phone Number
510-844-6752
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
10864 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
APCC10864 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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