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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17596 (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.