Individual provider · Type 1 NPI

Kaeb Menker

Mental Health Counselor · Oakland, CA

NPI number 1962941104 Active

Practice location

1700 Broadway, 5th Floor
Oakland, CA 94612-2141

Fax (510) 273-8340

Mailing address

5674 Stoneridge Dr, Ste. 207
Pleasanton, CA 94588-8500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962941104

Kaeb Menker's National Provider Identifier is 1962941104, issued on Feb 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Feb 21, 2017.