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Cliff Owl III
Student in an Organized Health Care Education/Training Program in Richmond, California
NPI 1841670130

Cliff Owl III is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Cliff Owl III practices in Richmond, CA. The NPI Number for Cliff Owl III is 1841670130 and holds a License No. (California).

The current practice location address for Cliff Owl III is 4175 Lakeside Drive, Richmond, CA and can be reached out via phone at 510-262-6551 and via fax at 510-222-7085.

Location: 4175 Lakeside Drive, Richmond, CA, 94608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841670130
Provider Name
Cliff Owl III
Credential
Provider Entity Type
Individual
Gender
Male
Address
4175 Lakeside Drive, Richmond, CA, 94608
Phone Number
510-262-6551
Fax Number
510-222-7085
Provider Enumeration Date
06/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4175 Lakeside Drive
City
Richmond
State
California
Zip
94806
Phone Number
510-262-6551
Fax Number
510-222-7085
person
Provider Business Mailing Address Details
Address
4175 Lakeside Drive
City
Richmond
State
California
Zip
94806
Phone Number
510-262-6551
Fax Number
510-222-7085
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...
person
Provider's Taxonomy Details 2
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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