Provider Demographics
NPI:1568663607
Name:MCMICHAEL, CURT
Entity Type:Individual
Prefix:
First Name:CURT
Middle Name:
Last Name:MCMICHAEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 HEGENBERGER ROAD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-1420
Mailing Address - Country:US
Mailing Address - Phone:510-383-1600
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:510-383-1600
Practice Address - Fax:510-383-1616
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional