JOSEPH OSULLIVAN-TREVENA

SAN LEANDRO, CA
NPI1861110983
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-08-15
Last Update Date2022-08-15
Business Address
JOSEPH OSULLIVAN-TREVENA
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577-5720
Phone number: 510-347-4620
Mailing Address
JOSEPH OSULLIVAN-TREVENA
101 MC LELLAN DR APT 3024
SOUTH SAN FRANCISCO, CA 94080-7526
Phone number: 707-236-2791
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