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NPI Code Detail

MEDICARE: KALIZ DOWDELL

MEDICARE: KALIZ DOWDELL
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 Therapist
2101YM0800XMental Health Counselor
3390200000XStudent in an Organized Health Care Education/Training Program114831CA
4106H00000XMarriage & Family Therapist114831CA

General Provider Information

NPI Number : 1982096384
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALIZ DOWDELL
Provider Business Mailing Address
First Line : 13585 SAN PABLO AVE
Second Line :
City : SAN PABLO
State : CA
Zip : 94806-3863
Country : US
Telephone Number : 510-942-4700
Fax Number :
Provider Business Practice Location Address
First Line : 2501 HARRISON ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3811
Country : US
Telephone Number : 510-788-0876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2015
Last Update Date : 09/24/2024

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Directions to “ KALIZ DOWDELL ” Practice Location

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