Prep

NPI #1083954531 in Oakland, California

Provider Information

NPI Number: 1083954531
Entity Type: Organization
Organization Name: Prep
Primary Specialty: Counselor
Enumeration Date: Feb 20, 2013
Last Updated: Feb 21, 2013

Practice Location

Address: 1814 FRANKLIN ST
Address 2: 400
City: Oakland
State: California
ZIP Code: 94612-3487
Phone: (510) 318-6100

Authorized Official

Name: TANYA RENEE LEAR
Title: CARE ADVOCATE INTERN
Phone: (510) 409-9231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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