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Ms. Theresa Landry
Addiction (Substance Use Disorder) Counselor in Oakland, California
NPI 1962603514

Theresa Landry is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Theresa Landry practices in Oakland, CA. The NPI Number for Theresa Landry is 1962603514 and holds a License No. (California).

The current practice location address for Theresa Landry is 7501 International Blvd., Oakland, CA and can be reached out via phone at 510-729-8807.

Location: 7501 International Blvd., Oakland, CA, 94621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962603514
Provider Name
Theresa Landry
Credential
Provider Entity Type
Individual
Gender
Female
Address
7501 International Blvd., Oakland, CA, 94621
Phone Number
510-729-8807
Fax Number
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2214 01 CA REGISTRATION NUMBER
institution
Provider Business Practice Location Address Details
Address
7501 International Blvd.
City
Oakland
State
California
Zip
94621
Phone Number
510-729-8807
Fax Number
person
Provider Business Mailing Address Details
Address
7501 International Blvd.
City
Oakland
State
California
Zip
94621
Phone Number
510-729-8807
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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