Individual provider · Type 1 NPI

Douglas Amenaghawon

Mental Health Counselor · San Leandro, CA

NPI number 1699012344 Active

Practice location

545 Estudillo Ave
San Leandro, CA 94577-4611

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1699012344

Douglas Amenaghawon's National Provider Identifier is 1699012344, issued on Jan 14, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Jan 14, 2013.