Healthcare Provider Details

I. General information

NPI: 1376757385
Provider Name (Legal Business Name): MONICA HOLMES RASI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1266 14TH ST
OAKLAND CA
94607-2205
US

IV. Provider business mailing address

7 LANCASTER CIR APT 245
BAY POINT CA
94565-6661
US

V. Phone/Fax

Practice location:
  • Phone: 510-531-3111
  • Fax:
Mailing address:
  • Phone: 510-860-0516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRI-H0604200922
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: