CORONDA TYEAST CARTER

FAIRFIELD, CA
NPI1700915451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  IMF55564)
101YM0800X Counselor, Mental Health
106H00000X Marriage & Family Therapist
(Licence: CA  IMF55564)
101YM0800X Counselor, Mental Health
(Licence: CA  IMF79317)
Enumeration Date2007-03-05
Last Update Date2017-04-03
Business Address
Ms. CORONDA TYEAST CARTER
470 CHADBOURNE RD STE F
FAIRFIELD, CA 94534-9620
Phone number: 707-557-4560
Mailing Address
Ms. CORONDA TYEAST CARTER
470 CHADBOURNE RD STE F
FAIRFIELD, CA 94534-9620
Phone number: 707-557-4560