Dazie Rustin Grego
Dazie Rustin Grego is a Counselor in Oakland, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
629 Oakland AveOakland, CA 94611-4567
Phone: (510) 658-9480
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 101Y00000X (CA) |
Record details
| NPI number | 1629832712 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 8, 2024 |
| Last updated in NPPES | June 26, 2024 |
| Certification date | June 26, 2024 |
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