Healthcare Provider Details

I. General information

NPI: 1174370241
Provider Name (Legal Business Name): DISABILITY COUNSELING SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 05/06/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 CLAY ST. 6TH FLR. STE 600
OAKLAND CA
94612
US

IV. Provider business mailing address

1300 CLAY ST. 6TH FLR. STE 600
OAKLAND CA
94612
US

V. Phone/Fax

Practice location:
  • Phone: 910-450-1800
  • Fax: 510-645-1577
Mailing address:
  • Phone: 910-450-1800
  • Fax: 510-645-1577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. GODFREY LEIGH MACFARLAND
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 510-450-1800