Provider Demographics
NPI:1063676948
Name:MAY, LINDA JEAN (MFT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:MAY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6432 THORNHILL DR
Mailing Address - Street 2:6432 THORNHILL DRIVE
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-1225
Mailing Address - Country:US
Mailing Address - Phone:650-208-3730
Mailing Address - Fax:
Practice Address - Street 1:6432 THORNHILL DR
Practice Address - Street 2:6432 THORNHILL DRIVE
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-1225
Practice Address - Country:US
Practice Address - Phone:650-208-3730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 21647101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health