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Douglas Amenaghawon
Mental Health Counselor in San Leandro, California
NPI 1699012344

Douglas Amenaghawon is a Mental Health Counselor based in San Leandro, CA and is specialized in Mental Health. Douglas Amenaghawon practices in San Leandro, CA. The NPI Number for Douglas Amenaghawon is 1699012344 and holds a License No. (California).

The current practice location address for Douglas Amenaghawon is 545 Estudillo Ave, San Leandro, CA and can be reached out via phone at 510-586-8535.

Location: 545 Estudillo Ave, San Leandro, CA, 94577-4611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699012344
Provider Name
Douglas Amenaghawon
Credential
Provider Entity Type
Individual
Gender
Male
Address
545 Estudillo Ave, San Leandro, CA, 94577-4611
Phone Number
510-586-8535
Fax Number
Provider Enumeration Date
01/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
545 Estudillo Ave
City
San Leandro
State
California
Zip
94577-4611
Phone Number
510-586-8535
Fax Number
person
Provider Business Mailing Address Details
Address
545 Estudillo Ave
City
San Leandro
State
California
Zip
94577-4611
Phone Number
510-586-8535
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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