Most Relevant Information
Provider Data
NPI Number: | 1003374497 |
Provider Name: | DANIELLE CHRISJAN STAUFFER |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 03/05/2019 |
Last Updated: | 12/14/2020 |
Provider Practice Location
390 40TH ST
OAKLAND
CA
946092633
Practice Location Phone/Fax
Phone: | 5107231907 |
Fax: |
Provider Mailing Location
390 40TH ST
OAKLAND
CA
946092633
Provider Mailing Phone/Fax
Phone: | 5107231907 |
Fax: |