Individual provider · Type 1 NPI

Mary Tieh

Day Training/Habilitation Specialist · San Leandro, CA

NPI number 1497408462 Active

Practice location

777 Davis St
San Leandro, CA 94577-6923

Call (510) 609-2854 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1497408462

Mary Tieh's National Provider Identifier is 1497408462, issued on Jan 31, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in San Leandro, CA. The record was last updated on Sep 2, 2025.