Individual provider · Type 1 NPI

Koodrut Panesar, B.S.

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1285229666 Active

Practice location

2545 San Pablo Ave
Oakland, CA 94612-1121

Call (510) 446-7150 Map

Other practice locations

  • 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 · (619) 398-2156

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSUDRC22829 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1285229666

Koodrut Panesar, B.S.'s National Provider Identifier is 1285229666, issued on Mar 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Oct 1, 2025.