ILOABUCHI ETTA (NPI# 1356758361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356758361 |
| Entity Type | Individual |
| Full Name | ILOABUCHI ETTA |
| Practice Address |
5860 Mcbryde Ave Richmond CA 94805-1162 |
| Practice Telephone | 5102360444 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
5860 MCBRYDE AVE |
| City | RICHMOND |
| State | CA |
| Zip Code | 94805-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689739609 | Robert Charles Garriott | Marriage & Family Therapist | 5860 Mcbryde Ave, Richmond, CA 94805-1162 | 2006-12-27 |
| 1184024531 | Akindele Omole | Counselor | 5860 Mcbryde Ave, Richmond, CA 94805-1162 | 2014-09-03 |
| 1619385994 | Lonell Brown | Counselor | 5860 Mcbryde Ave, Richmond, CA 94805-1162 | 2014-07-30 |
| 1518375013 | Keyona White | Counselor | 5860 Mcbryde Ave, Richmond, CA 94805-1162 | 2014-07-28 |
| 1952620171 | La Cheim School, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5860 Mcbryde Ave, Richmond, CA 94805-1162 | 2010-05-27 |
| 1255580643 | Kasey Clifton | Counselor | 5860 Mcbryde Ave, Richmond, CA 94805-1162 | 2008-09-10 |
| 1881732865 | Jada Gradine Wilson | Counselor | 5860 Mcbryde Ave, Richmond, CA 94805-1162 | 2007-02-02 |
| 1952453029 | Jonah Schiander Gray | Counselor | 5860 Mcbryde Ave, Richmond, CA 94805-1162 | 2007-01-17 |
| 1407908676 | Lauen Winter Presley | Counselor | 5860 Mcbryde Ave, Richmond, CA 94805-1162 | 2007-01-17 |
| 1841347424 | Gary Bartl | Residential Treatment Facility, Emotionally Disturbed Children | 5860 Mcbryde Ave, Richmond, CA 94805-1162 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134622038 | Edward Trujano | Behavioral Analyst | 616 40th St, Richmond, CA 94805 | 2018-03-16 |
| 1568900439 | John Edward Tysell Jr. | Internal Medicine | 437 Carlston Street, Richmond, CA 94805 | 2017-02-10 |
| 1043661952 | Alejandra Cardenas | Counselor | 4101 Macdonald Avenue, Richmond, CA 94805 | 2016-06-22 |
| 1568582229 | Susan Denny | Marriage & Family Therapist | 207 37th Street, Richmond, CA 94805 | 2007-03-29 |
| 1548312689 | Wendy E Maron | Marriage & Family Therapist | 630 Humboldt St, Richmond, CA 94805 | 2007-01-17 |
| 1518015866 | Community Health for Asian Americans | Community/Behavioral Health | 207 37th St, Richmond, CA 94805 | 2007-01-05 |
| 1215496799 | Makenna Newton | Counselor | 303 41st St, Richmond, CA 94805 | 2019-03-14 |
| 1508399189 | Alejandra Olguin | Social Worker | 205 39th St, Richmond, CA 94805 | 2017-04-10 |
| 1760872451 | Deyda Mendoza | Counselor | 205 39th St, Richmond, CA 94805 | 2015-02-02 |
| 1245664036 | Leonard Deguzman | Counselor | 207 37th St, Richmond, CA 94805 | 2013-08-28 |
| Find all providers in zip 94805 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1316545957 | Joy Monte Maples-parham | Counselor | 4020 Bolling Rd, Richmond, VA 23223-1149 | 2020-10-15 |
| 1720695273 | Sunnie Allen | Counselor | 498 Nw 18th St Bldg 417, Richmond, IN 47374-2851 | 2020-09-29 |
| 1598370819 | Creating Boundaries, LLC | Counselor | 200 E Main St Ste 208, Richmond, KY 40475-1628 | 2020-09-14 |
| 1285249839 | Megan Brown | Counselor | 611 Hampton Way Apt 2, Richmond, KY 40475-8234 | 2020-09-10 |
| 1851901359 | Hama Health Services, Inc | Counselor | 17027 Iver Ironwood Trl, Richmond, TX 77407-2169 | 2020-08-09 |
| 1750990297 | Takisha Nicole Moore | Counselor | 8602 Withers Ridge Dr, Richmond, TX 77407-2663 | 2020-07-30 |
| 1821613076 | Elite Caregiver LLC | Counselor | 18126 Sonora Brook Ln, Richmond, TX 77407-1808 | 2020-06-13 |
| 1487278933 | New Hope Services LLC | Counselor | 1301 Boulder Creek Rd, Richmond, VA 23225-4165 | 2020-06-01 |
| 1114540994 | Alexander Glenn-mcmahan Adler | Counselor | 1215 W Main St Ste A, Richmond, VA 23220-4811 | 2020-05-27 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.