Provider Demographics
NPI:1063307593
Name:INNER IMAGE COUNSELING
Entity type:Organization
Organization Name:INNER IMAGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YUN CHAN ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:650-436-7321
Mailing Address - Street 1:3863 HOWE ST STE C
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5343
Mailing Address - Country:US
Mailing Address - Phone:650-436-7321
Mailing Address - Fax:650-523-4354
Practice Address - Street 1:3863 HOWE ST STE C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5343
Practice Address - Country:US
Practice Address - Phone:650-436-7321
Practice Address - Fax:650-523-4354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty