Individual provider · Type 1 NPI

Gaoussou Ouattara

Mental Health Counselor · Oakland, CA

NPI number 1962692525 Active

Practice location

3800 Coolidge Ave
Oakland, CA 94602-3311

Mailing address

1430 Hayes St
Richmond, CA 94806-4808

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1962692525

Gaoussou Ouattara's National Provider Identifier is 1962692525, issued on Jul 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Jul 30, 2007.