Provider Demographics
NPI:1568273779
Name:WOLVEN, BRITT STAR
Entity type:Individual
Prefix:
First Name:BRITT
Middle Name:STAR
Last Name:WOLVEN
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 1:5821 PINEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-1829
Mailing Address - Country:US
Mailing Address - Phone:510-593-7892
Mailing Address - Fax:
Practice Address - Street 1:5715 MUSICK AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-2554
Practice Address - Country:US
Practice Address - Phone:510-593-7892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool