Provider Demographics
NPI:1487853420
Name:GEHRE, LINDA G
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:G
Last Name:GEHRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 22ND ST
Mailing Address - Street 2:SUITE 650
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3019
Mailing Address - Country:US
Mailing Address - Phone:510-272-4797
Mailing Address - Fax:510-839-1849
Practice Address - Street 1:360 22ND ST
Practice Address - Street 2:SUITE 650
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3019
Practice Address - Country:US
Practice Address - Phone:510-272-4797
Practice Address - Fax:510-839-1849
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health