KEONI GIST

Counselor - Mental Health

Active Individual
NPI: 1417225251

Practice Address

4321 TOMPKINS AVE
Oakland, CA 94619

Phone: (510) 302-8951

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1417225251 is the National Provider Identifier for KEONI GIST, a Counselor - Mental Health provider located in Oakland, CA. This NPI was enumerated on December 8, 2011.
KEONI GIST practices at 4321 TOMPKINS AVE, Oakland, CA 94619.

Quick Facts

NPI
1417225251
Type
Individual
Enumerated
Dec 8, 2011
Last Updated
Dec 8, 2011

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