Southall, Angela M

Southall, Angela M is an sole proprietor health care provider with primary practice located at 3761 Ruby St , Oakland CA 94609-2715. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Southall, Angela M can be contacted via phone (510) 655-1681.

Contact Information

Primary practice address
3761 Ruby St Oakland CA 94609-2715
Phone: (510) 655-1681
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1477891281
LBN Legal business name Southall, Angela M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2013
Last updated Jan 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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