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NPI Code Detail

MEDICARE: STEVEN HENRY

MEDICARE:   STEVEN  HENRY
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
1106H00000XMarriage & Family TherapistLMFT146044CA

General Provider Information

NPI Number : 1245849140
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN HENRY
Provider Business Mailing Address
First Line : 770 53RD ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1814
Country : US
Telephone Number : 510-428-3000
Fax Number :
Provider Business Practice Location Address
First Line : 770 53RD ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1814
Country : US
Telephone Number : 510-428-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2020
Last Update Date : 03/11/2026

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Directions to “ STEVEN HENRY ” Practice Location

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