Provider Information for 1033681879
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ERIK ALFRED METZGER LMFT
Sex: Male
NPI: 1033681879
Last Updated: 2022-02-11
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||||
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NPI | 1033681879 | ||||||||||||||
Enumeration Date | 2018-12-18 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | YES | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 380 W MACARTHUR BLVD OAKLAND, CA 94609-2819 United States Phone: 510-251-3909 | Fax: | ||||||||||||||
Primary Practice Address | 380 W MACARTHUR BLVD OAKLAND, CA 94609-2819 United States Phone: 510-251-3909 | Fax: | ||||||||||||||
Secondary Practice Address(es) | 916 SOLANO CT | ||||||||||||||
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