Provider Demographics
NPI:1184835167
Name:BLEAKLEY, JOYCE MAUREEN (BA)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:MAUREEN
Last Name:BLEAKLEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:MAUREEN
Other - Last Name:CAMBRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:333 HEGENBERGER RD
Mailing Address - Street 2:600
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-1420
Mailing Address - Country:US
Mailing Address - Phone:510-383-1640
Mailing Address - Fax:510-383-1616
Practice Address - Street 1:333 HEGENBERGER RD
Practice Address - Street 2:SUITE 600
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-1420
Practice Address - Country:US
Practice Address - Phone:510-383-1640
Practice Address - Fax:510-383-1616
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor