| The Wave Within Professional Clinical Counselor Corporation | |
|
2447 Santa Clara Ave Ste 301 Alameda CA 94501-4579 | |
| (510) 239-7022 | |
| Not Available |
| Full Name | The Wave Within Professional Clinical Counselor Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2447 Santa Clara Ave Ste 301, Alameda, California |
| Authorized Official Name and Position | Annie Shirrell (CEO) |
| Authorized Official Contact | 5102397022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wave Within Professional Clinical Counselor Corporation 2447 Santa Clara Ave Ste 301 Alameda CA 94501-4579 Ph: (510) 239-7022 | The Wave Within Professional Clinical Counselor Corporation 2447 Santa Clara Ave Ste 301 Alameda CA 94501-4579 Ph: (510) 239-7022 |
| NPI Number | 1851071609 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851071609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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