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Theodore Owen Atwood
Counselor in Oakland, California
NPI 1912533571

Theodore Owen Atwood is a Counselor based in Oakland, CA. Theodore Owen Atwood practices in Oakland, CA. The NPI Number for Theodore Owen Atwood is 1912533571 and holds a License No. 93126 (California).

The current practice location address for Theodore Owen Atwood is 390 40Th St, Oakland, CA and can be reached out via phone at 510-613-0330.

Location: 390 40Th St, Oakland, CA, 94609-2633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912533571
Provider Name
Theodore Owen Atwood
Credential
Provider Entity Type
Individual
Gender
Male
Address
390 40Th St, Oakland, CA, 94609-2633
Phone Number
510-613-0330
Fax Number
Provider Enumeration Date
03/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
390 40Th St
City
Oakland
State
California
Zip
94609-2633
Phone Number
510-613-0330
Fax Number
person
Provider Business Mailing Address Details
Address
390 40Th St
City
Oakland
State
California
Zip
94609-2633
Phone Number
510-613-0330
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
93126 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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