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Joseph Osullivan-trevena
Mental Health Counselor in San Leandro, California
NPI 1861110983

Joseph Osullivan-trevena is a Mental Health Counselor based in South San Francisco, CA and is specialized in Mental Health. Joseph Osullivan-trevena practices in San Leandro, CA. The NPI Number for Joseph Osullivan-trevena is 1861110983 and holds a License No. (California).

The current practice location address for Joseph Osullivan-trevena is 3081 Teagarden St, San Leandro, CA and can be reached out via phone at 510-347-4620.

Location: 3081 Teagarden St, San Leandro, CA, 94080-7526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861110983
Provider Name
Joseph Osullivan-trevena
Credential
Provider Entity Type
Individual
Gender
Male
Address
3081 Teagarden St, San Leandro, CA, 94080-7526
Phone Number
510-347-4620
Fax Number
Provider Enumeration Date
08/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3081 Teagarden St
City
San Leandro
State
California
Zip
94577-5720
Phone Number
510-347-4620
Fax Number
person
Provider Business Mailing Address Details
Address
3081 Teagarden St
City
San Leandro
State
California
Zip
94577-5720
Phone Number
510-347-4620
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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