Healthcare Provider Details

I. General information

NPI: 1144487224
Provider Name (Legal Business Name): LINDA NOBUKO KUWATANI M.S., M.F.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2008
Last Update Date: 05/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6097 CLAREMONT AVE
OAKLAND CA
94618-1222
US

IV. Provider business mailing address

6097 CLAREMONT AVE
OAKLAND CA
94618-1222
US

V. Phone/Fax

Practice location:
  • Phone: 510-420-1474
  • Fax:
Mailing address:
  • Phone: 510-420-1474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC28535
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: