Carter, Coronda Tyeast

Carter, Coronda Tyeast is an individual health care provider with primary practice located at 470 Chadbourne Rd Ste F , Fairfield CA 94534-9620. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Carter, Coronda Tyeast can be contacted via phone (707) 557-4560.

Contact Information

Primary practice address
470 Chadbourne Rd Ste F Fairfield CA 94534-9620
Phone: (707) 557-4560
Fax: (707) 557-7909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X IMF55564 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF55564 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMF79317 California

Profile Details

NPI number 1700915451
LBN Legal business name Carter, Coronda Tyeast
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Apr 3rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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