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Mr. Maxwell Jackson Antor
Mental Health Counselor in Alameda, California
NPI 1922292218

Maxwell Jackson Antor is a Mental Health Counselor based in Alameda, CA and is specialized in Mental Health. Maxwell Jackson Antor practices in Alameda, CA. The NPI Number for Maxwell Jackson Antor is 1922292218 and holds a License No. (California).

The current practice location address for Maxwell Jackson Antor is 2411 Santa Clara Ave Ste 25, Alameda, CA and can be reached out via phone at 510-575-9374.

Location: 2411 Santa Clara Ave Ste 25, Alameda, CA, 94501-4543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922292218
Provider Name
Maxwell Jackson Antor
Credential
Provider Entity Type
Individual
Gender
Male
Address
2411 Santa Clara Ave Ste 25, Alameda, CA, 94501-4543
Phone Number
510-575-9374
Fax Number
Provider Enumeration Date
08/30/2007
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
2411 Santa Clara Ave Ste 25
City
Alameda
State
California
Zip
94501-4543
Phone Number
510-575-9374
Fax Number
person
Provider Business Mailing Address Details
Address
2411 Santa Clara Ave Ste 25
City
Alameda
State
California
Zip
94501-4543
Phone Number
510-575-9374
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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