Provider Demographics
NPI:1427209295
Name:MESSINA, MEREDITH CATHERINE (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:MEREDITH
Middle Name:CATHERINE
Last Name:MESSINA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:BULKELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2325 CLEMENT AVE
Mailing Address - Street 2:ALAMEDA FAMILY SERVICES
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-7063
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2325 CLEMENT AVE
Practice Address - Street 2:ALAMEDA FAMILY SERVICES
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-7063
Practice Address - Country:US
Practice Address - Phone:510-629-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC60013857390200000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program