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LAURA INEZ FULLWOOD-CLEGHORN
NPI 1760357743
Counselor - Professional in Oakland, CA

Active since October 08, 2025
2400 64TH AVE, OAKLAND, CA 94605(510) 575-1713 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laura Inez Fullwood-cleghorn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA INEZ FULLWOOD-CLEGHORN (NPI 1760357743) is an individual professional provider in Oakland, California and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1760357743
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAURA INEZ FULLWOOD-CLEGHORN
Location Address2400 64TH AVEOakland, CA 94605-1945
Mailing Address2400 64th AveOakland, CA 94605-1945 · (510) 575-1713
Phone(510) 575-1713
Sole ProprietorYes
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1760357743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2400 64TH AVE, Oakland, CA 94605
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Fullwood-cleghorn's NPI number?

The NPI number for Laura Fullwood-cleghorn is 1760357743. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Laura Fullwood-cleghorn located?

Laura Fullwood-cleghorn practices at 2400 64th Ave, Oakland, CA 94605. The listed phone number is (510) 575-1713.

What is Laura Fullwood-cleghorn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Laura Fullwood-cleghorn was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.