Provider Demographics
NPI:1326256249
Name:MATSUOKA, AKEMI TAKAGI (LMFT)
Entity Type:Individual
Prefix:
First Name:AKEMI
Middle Name:TAKAGI
Last Name:MATSUOKA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:AKEMI
Other - Middle Name:
Other - Last Name:TAKAGI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 8TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-6527
Mailing Address - Country:US
Mailing Address - Phone:510-735-3900
Mailing Address - Fax:510-474-1715
Practice Address - Street 1:310 8TH ST
Practice Address - Street 2:SUITE 200A
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-6526
Practice Address - Country:US
Practice Address - Phone:510-735-3900
Practice Address - Fax:510-474-1715
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT50085106H00000X
CALPCC1212101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional