MS. STACEY NORDWALL

Counselor

Active Individual
NPI: 1104251800

Practice Address

380 MARTIN LUTHER KING JR WAY
Oakland, CA 94607

Phone: (510) 428-3885

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1104251800 is the National Provider Identifier for MS. STACEY NORDWALL, a Counselor provider located in Oakland, CA. This NPI was enumerated on September 12, 2013.
MS. STACEY NORDWALL practices at 380 MARTIN LUTHER KING JR WAY, Oakland, CA 94607.

Quick Facts

NPI
1104251800
Type
Individual
Enumerated
Sep 12, 2013
Last Updated
Sep 12, 2013

Nearby Providers