TONYA ARCHULETA FRADELLA NPI 1265884761

NPI Information

NPI: 1265884761
Provider Name: TONYA ARCHULETA FRADELLA
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA
ZIP 94577
Phone: (510) 924-0548
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Tonya Archuleta Fradella is a counselor in San Leandro, CA. The provider is 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. Tonya Archuleta Fradella NPI is 1265884761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA
ZIP 94577-962
Phone: (510) 924-0548

The enumeration date for this NPI number is 7/7/2016 and was last updated on 9/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C054360518	CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health	8121	CALIFORNIA	No
3	101Y00000X	Counselor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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