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Contact Information

BRENDA J OVERTON
2579 SAN PABLO AVE
OAKLAND, CA94612
 Phone: 510-446-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for BRENDA J OVERTON · (Female)

NPI Number 1356865893
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # RI-01312231533
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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