Individual provider · Type 1 NPI

Mary Louise Cordova

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1619167780 Active

Practice location

3315 International Blvd
Oakland, CA 94601-3005

Call (510) 536-4764 Map

Mailing address

1319 Fruitvale Ave
Oakland, CA 94601-2927

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X61072 (CA)

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

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About NPI 1619167780

Mary Louise Cordova's National Provider Identifier is 1619167780, issued on Jul 25, 2007. 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 Jul 25, 2007.