Individual provider · Type 1 NPI

Archiebald Wollo

Mental Health Counselor · Kentfield, CA

NPI number 1740699412 Active

Practice location

1109 Sir Francis Drake Blvd
Kentfield, CA 94904-1418

Call (415) 256-9995 Map

Fax (415) 256-9998

Mailing address

881 69th Ave Apt 209
Oakland, CA 94621-3326

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1740699412

Archiebald Wollo's National Provider Identifier is 1740699412, issued on Aug 7, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kentfield, CA. The record was last updated on Aug 7, 2014.