Provider Demographics
NPI:1609041540
Name:MARSALA, YESENIA CATALINA
Entity Type:Individual
Prefix:MS
First Name:YESENIA
Middle Name:CATALINA
Last Name:MARSALA
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 1:1319 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2927
Mailing Address - Country:US
Mailing Address - Phone:510-535-2303
Mailing Address - Fax:510-535-2346
Practice Address - Street 1:3209 GALINDO ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-2507
Practice Address - Country:US
Practice Address - Phone:510-532-5995
Practice Address - Fax:510-436-4214
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)