Individual provider · Type 1 NPI
Coronda Tyeast Carter
Counselor · Fairfield, CA
NPI number
1700915451
Active
Practice location
470 Chadbourne Rd Ste F
Fairfield, CA 94534-9620
Fax (707) 557-7909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | IMF55564 (CA) |
| Mental Health Counselor | 101YM0800X | None listed |
| Marriage & Family Therapist | 106H00000X | IMF55564 (CA) |
| Mental Health Counselor | 101YM0800X | IMF79317 (CA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4 other providers at this address
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About NPI 1700915451
Coronda Tyeast Carter's National Provider Identifier is 1700915451, issued on Mar 5, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fairfield, CA. The record was last updated on Apr 3, 2017.