GWYNEVERE FALLBROOKE LPCC NPI 1275045759

NPI Information

NPI: 1275045759
Provider Name: GWYNEVERE FALLBROOKE, LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
465 34TH ST STE A
OAKLAND, CA
ZIP 94609
Phone: (510) 842-0746
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Gwynevere Fallbrooke, LPCC is a mental health counselor in Oakland, CA. Gwynevere Fallbrooke, LPCC NPI is 1275045759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

465 34TH ST STE A
OAKLAND, CA
ZIP 94609-815
Phone: (510) 842-0746

The enumeration date for this NPI number is 10/24/2017 and was last updated on 9/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	5298	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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