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Terrek Humphreys
Student in an Organized Health Care Education/Training Program in San Leandro, California
NPI 1912033283

Terrek Humphreys is a Student in an Organized Health Care Education/Training Program based in San Leandro, CA. Terrek Humphreys practices in San Leandro, CA. The NPI Number for Terrek Humphreys is 1912033283 and holds a License No. 74833 (California).

The current practice location address for Terrek Humphreys is 2275 Arlington Dr, San Leandro, CA and can be reached out via phone at 510-317-1444.

Location: 2275 Arlington Dr, San Leandro, CA, 94578-1132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912033283
Provider Name
Terrek Humphreys
Credential
Provider Entity Type
Individual
Gender
Male
Address
2275 Arlington Dr, San Leandro, CA, 94578-1132
Phone Number
510-317-1444
Fax Number
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2275 Arlington Dr
City
San Leandro
State
California
Zip
94578-1132
Phone Number
510-317-1444
Fax Number
person
Provider Business Mailing Address Details
Address
2275 Arlington Dr
City
San Leandro
State
California
Zip
94578-1132
Phone Number
510-317-1444
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
74833 (California)
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.
74833 (California)
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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