Humphrey, Endena Chersa

Humphrey, Endena Chersa is an individual health care provider with primary practice located at 390 40Th St , Oakland CA 94609-2633. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Humphrey, Endena Chersa can be contacted via phone (510) 613-0330.

Contact Information

Primary practice address
390 40Th St Oakland CA 94609-2633
Phone: (510) 613-0330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1821327909
LBN Legal business name Humphrey, Endena Chersa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2009
Last updated Aug 24th, 2022 - about 2 years ago

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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