Individual provider · Type 1 NPI
Stephanie Evon Hollis, SUDRC
Addiction (Substance Use Disorder) Counselor · Oakland, CA
NPI number
1295594547
Active
Practice location
3408 Andover St
Oakland, CA 94609-2817
Fax (510) 487-2016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 17596 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295594547
Stephanie Evon Hollis, SUDRC's National Provider Identifier is 1295594547, issued on Mar 18, 2024. 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 Mar 18, 2024.