Most Relevant Information
Provider Data
| NPI Number: | 1003369810 |
| Provider Name: | AUDRE MOWRY LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2016 |
| Last Updated: | 04/12/2023 |
Provider Practice Location
445 BELLEVUE AVE STE 6A
OAKLAND
CA
946104923
Practice Location Phone/Fax
| Phone: | 5108597731 |
| Fax: |
Provider Mailing Location
445 BELLEVUE AVE STE 6A
OAKLAND
CA
946104923
Provider Mailing Phone/Fax
| Phone: | 5108597731 |
| Fax: |