Healthcare Provider Details

I. General information

NPI: 1790632263
Provider Name (Legal Business Name): AMBER LEA LUKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3408 ANDOVER ST
OAKLAND CA
94609-2817
US

IV. Provider business mailing address

17 EMBARCADERO CV
OAKLAND CA
94606-5214
US

V. Phone/Fax

Practice location:
  • Phone: 510-547-1531
  • Fax:
Mailing address:
  • Phone: 510-535-1344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: