MR. Maxwell Jackson Antor
NPI #1922292218 in Alameda, California
Provider Information
- NPI Number
- 1922292218
- Entity Type
- Individual
- Name
- MR. Maxwell Jackson Antor
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 30, 2007
- Last Updated
- Sep 20, 2024
Practice Location
- Address
- 2411 SANTA CLARA AVE STE 25
- City
- Alameda
- State
- California
- ZIP Code
- 94501-4543
- Phone
- (510) 575-9374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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