Healthcare Provider Details

I. General information

NPI: 1811773971
Provider Name (Legal Business Name): TANA MISH GUKER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 LIVE OAK AVE
OAKLEY CA
94561-4127
US

IV. Provider business mailing address

715 WILLOW CREEK TER
BRENTWOOD CA
94513-1826
US

V. Phone/Fax

Practice location:
  • Phone: 925-779-7445
  • Fax:
Mailing address:
  • Phone: 510-418-4490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number49896
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: