Coronda Tyeast Carter

Counselor · Fairfield, CA

Individual Active NPI

NPI number 1700915451

Practice location

470 Chadbourne Rd Ste F
Fairfield, CA 94534-9620
Phone
(707) 557-4560
Fax
(707) 557-7909

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NPI record

NPI
1700915451
Entity type
Individual (Type 1)
Enumeration date
March 5, 2007
Last updated
April 3, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —
Student in an Organized Health Care Education/Training Program 390200000X IMF55564 CA
Mental Health Counselor 101YM0800X — —
Marriage & Family Therapist 106H00000X IMF55564 CA
Mental Health Counselor 101YM0800X IMF79317 CA

About Coronda Carter

Coronda Tyeast Carter is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 470 Chadbourne Rd Ste F, Fairfield, CA 94534-9620. The NPI number 1700915451 was assigned on March 5, 2007 and the record was last updated on April 3, 2017.

Coronda Carter lists 3 licenses in the registry: #IMF55564 (CA) for Student in an Organized Health Care Education/Training Program; #IMF55564 (CA) for Marriage & Family Therapist; #IMF79317 (CA) for Mental Health Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Coronda Tyeast Carter?

The NPI number is 1700915451.

What is the phone number of Coronda Carter?

The phone number listed for the practice location is (707) 557-4560.

Where is Coronda Carter located?

470 Chadbourne Rd Ste F, Fairfield, CA 94534-9620.

What is the taxonomy code for Coronda Carter?

The primary taxonomy code is 101Y00000X – Counselor; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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