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NPI Code Detail

MEDICARE: MORGAN BAKOWSKY APCC

MEDICARE: MORGAN BAKOWSKY APCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor18236CA

General Provider Information

NPI Number : 1114619509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN BAKOWSKY APCC
Provider Business Mailing Address
First Line : 1121 BODMIN AVE
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94579-1412
Country : US
Telephone Number : 510-407-7289
Fax Number :
Provider Business Practice Location Address
First Line : 2828 FORD ST
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2114
Country : US
Telephone Number : 510-268-3770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2023
Last Update Date : 12/22/2025

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Directions to “ MORGAN BAKOWSKY APCC” Practice Location

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