Provider Demographics
NPI:1982045761
Name:MUZIO, JESSICA ADAMS
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ADAMS
Last Name:MUZIO
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 1:1727 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:SUITE 109
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-1327
Mailing Address - Country:US
Mailing Address - Phone:510-893-9230
Mailing Address - Fax:
Practice Address - Street 1:1727 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:SUITE 109
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1327
Practice Address - Country:US
Practice Address - Phone:510-893-9230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health