Individual provider · Type 1 NPI

David Shoup

Mental Health Counselor · San Leandro, CA

NPI number 1780089243 Active

Practice location

3081 Teagarden St
San Leandro, CA 94577-5720

Fax (510) 483-4486

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780089243

David Shoup's National Provider Identifier is 1780089243, issued on Oct 27, 2014. 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 Oct 27, 2014.