Individual provider · Type 1 NPI

Colleen Bannister Shoop

Counselor · San Leandro, CA

NPI number 1902379225 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Call (510) 317-1444 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X74381 (CA)
Social Worker 104100000X74381 (CA)
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 1902379225

Colleen Bannister Shoop's National Provider Identifier is 1902379225, issued on Jan 9, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Leandro, CA. The record was last updated on Feb 7, 2019.