Healthcare Provider Details

I. General information

NPI: 1598955262
Provider Name (Legal Business Name): CLAUDIA ANDRADE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 MODESTO AVE
OAKLAND CA
94619-3335
US

IV. Provider business mailing address

2000 EMBARCADERO STE 205
OAKLAND CA
94606-5300
US

V. Phone/Fax

Practice location:
  • Phone: 510-574-2133
  • Fax:
Mailing address:
  • Phone: 510-346-1093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number138
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number138
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: