Provider Demographics
NPI:1457669988
Name:ST JUSTE, CARLA C (MSW,)
Entity Type:Individual
Prefix:MISS
First Name:CARLA
Middle Name:C
Last Name:ST JUSTE
Suffix:
Gender:F
Credentials:MSW,
Other - Prefix:DR
Other - First Name:LALIN
Other - Middle Name:
Other - Last Name:ST JUSTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9925 INTERNATIONAL BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94603-2558
Mailing Address - Country:US
Mailing Address - Phone:510-562-3731
Mailing Address - Fax:510-562-3734
Practice Address - Street 1:9925 INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94603-2558
Practice Address - Country:US
Practice Address - Phone:510-562-3731
Practice Address - Fax:510-562-3734
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker