Individual provider · Type 1 NPI

Victor Philip Mavedzenge, 101Y00000X

Counselor · Oakland, CA

NPI number 1669148581 Active

Practice location

390 40th St
Oakland, CA 94609-2633

Call (510) 613-0330 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1669148581

Victor Philip Mavedzenge, 101Y00000X's National Provider Identifier is 1669148581, issued on Aug 19, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oakland, CA. The record was last updated on Aug 19, 2021.