Allen, Teresa Mary

Allen, Teresa Mary is an sole proprietor health care provider with primary practice located at 286 Santa Clara Ave. , Oakland CA 94610. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Allen, Teresa Mary can be contacted via phone (510) 788-6110.

Contact Information

Primary practice address
286 Santa Clara Ave. Oakland CA 94610
Phone: (510) 788-6110
Fax: (510) 201-2514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 39878 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFC39878 California

Profile Details

NPI number 1578629739
LBN Legal business name Allen, Teresa Mary
Credentials M.S., MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Sep 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578629739 NPPES
California Other 00100NTEMFT39878012 BLUE SHIELD
California MEDICAID 01674804 BLUE SHIELD

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