Individual provider · Type 1 NPI

Dyesha Gardner

Mental Health Counselor · Oakland, CA

NPI number 1992254189 Active

Practice location

2116 Broadway
Oakland, CA 94612-2310

Fax (510) 350-3322

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1992254189

Dyesha Gardner's National Provider Identifier is 1992254189, issued on Sep 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Sep 28, 2016.