A Sober Choice | |
1316 67th St Emeryville CA 94608-1121 | |
(510) 420-1800 | |
(510) 969-7932 |
Full Name | A Sober Choice |
---|---|
Speciality | Psychologist - Clinical |
Location | 1316 67th St, Emeryville, California |
Authorized Official Name and Position | Najjuma Zakiya Shurn (PRESIDENT/CEO) |
Authorized Official Contact | 5104201800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A Sober Choice 1316 67th St Emeryville CA 94608-1121 Ph: (510) 420-1800 | A Sober Choice 1316 67th St Emeryville CA 94608-1121 Ph: (510) 420-1800 |
NPI Number | 1083194674 |
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Provider Enumeration Date | 08/14/2018 |
Last Update Date | 12/11/2019 |
Certification Date | 12/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083194674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY27577 (California) | Primary |
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