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Ms. Tasha Thibodeaux
Addiction (Substance Use Disorder) Counselor in Oakland, California
NPI 1922306752

Tasha Thibodeaux is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Tasha Thibodeaux practices in Oakland, CA. The NPI Number for Tasha Thibodeaux is 1922306752 and holds a License No. (California).

The current practice location address for Tasha Thibodeaux is 1411 E 31St St, Oakland, CA and can be reached out via phone at 510-437-5192.

Location: 1411 E 31St St, Oakland, CA, 94602-1018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922306752
Provider Name
Tasha Thibodeaux
Credential
Provider Entity Type
Individual
Gender
Female
Address
1411 E 31St St, Oakland, CA, 94602-1018
Phone Number
510-437-5192
Fax Number
Provider Enumeration Date
03/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1411 E 31St St
City
Oakland
State
California
Zip
94602-1018
Phone Number
510-437-5192
Fax Number
person
Provider Business Mailing Address Details
Address
1411 E 31St St
City
Oakland
State
California
Zip
94602-1018
Phone Number
510-437-5192
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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