| Y Team | |
|
4175 Lakeside Dr Richmond CA 94806-5774 | |
| (510) 262-6551 | |
| Not Available |
| Full Name | Y Team |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4175 Lakeside Dr, Richmond, California |
| Authorized Official Name and Position | Kiraa Eyvone Lillard (TRAINEE) |
| Authorized Official Contact | 5109277219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Y Team 1174 Regent St Apt E Alameda CA 94501-5359 Ph: (510) 927-7219 | Y Team 4175 Lakeside Dr Richmond CA 94806-5774 Ph: (510) 262-6551 |
| NPI Number | 1023364403 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023364403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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