Individual provider · Type 1 NPI
Cliff Owl Iii
Mental Health Counselor · Richmond, CA
NPI number
1841670130
Active
Practice location
4175 Lakeside Drive, Suite 110
Richmond, CA 94806
Fax (510) 222-7085
Mailing address
2001 28th Street
Oakland, CA 94608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1841670130
Cliff Owl Iii's National Provider Identifier is 1841670130, issued on Jun 2, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, CA. The record was last updated on Jul 22, 2016.