Healthcare Provider Details

I. General information

NPI: 1336768258
Provider Name (Legal Business Name): CHIA-YUN CHIANG PH.D., M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. JOYCE CHIANG

II. Dates (important events)

Enumeration Date: 04/10/2020
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 E 12TH ST
OAKLAND CA
94601-3424
US

IV. Provider business mailing address

6156 YARDLEY LN
SAN RAMON CA
94582-3048
US

V. Phone/Fax

Practice location:
  • Phone: 510-460-8856
  • Fax:
Mailing address:
  • Phone: 502-657-8619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21562
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: