Provider Demographics
NPI:1780493478
Name:SLOANE, MICHELE LOBATZ (AMFT)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:LOBATZ
Last Name:SLOANE
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1837
Mailing Address - Country:US
Mailing Address - Phone:760-419-9634
Mailing Address - Fax:
Practice Address - Street 1:401 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1837
Practice Address - Country:US
Practice Address - Phone:760-419-9634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA150406101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health