Seth David Golub
Marriage & Family Therapist in Oakland, CA. Individual provider (NPI-1).
NPI number1982201646
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1982201646
- Entity type
- Individual (NPI-1)
- Name
- Seth David Golub
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2020
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 138667 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 110019 | – |
Practice location
445 Bellevue Ave Ste 202Oakland, CA 94610-4923
Phone 415-672-4081
Mailing address
6645 Heartwood DrOakland, CA 94611-2334
Phone 415-672-4081
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