Provider Demographics
NPI:1629421631
Name:HEWITT-SLADE, MARGAUX (CADC-I)
Entity Type:Individual
Prefix:
First Name:MARGAUX
Middle Name:
Last Name:HEWITT-SLADE
Suffix:
Gender:F
Credentials:CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10850 MACARTHUR BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-5266
Mailing Address - Country:US
Mailing Address - Phone:510-875-2300
Mailing Address - Fax:510-875-2310
Practice Address - Street 1:10850 MACARTHUR BLVD
Practice Address - Street 2:STE 200
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-5266
Practice Address - Country:US
Practice Address - Phone:510-875-2300
Practice Address - Fax:510-875-2310
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)