Anewmay A Douglas | Oakland, CA • PECOS Search

Anewmay A Douglas

Counselor

Behavioral Health & Social Service Providers

3408 Andover St, Oakland, CA 94609-2817

PECOS Enrollment

Based on the most recent information from CMS, provider Anewmay A Douglas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1427199512
Provider Type
Individual
Full Name
Douglas, Anewmay A
Title
Prof.
Credential
C19981214

Gender
Female
Sole Proprietor
No
Enumeration Date
2/9/2007
Last Updated
3/28/2024

Contact Information

Practice Location

3408 Andover St, Oakland, CA 94609-2817

(510) 547-1543

Mailing Location

3408 Andover St, Oakland, CA 94609-2817

(510) 547-1543

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License C19981214 California