Provider Demographics
NPI:1306146709
Name:REDD, JOYCE YVETTE
Entity type:Individual
Prefix:MISS
First Name:JOYCE
Middle Name:YVETTE
Last Name:REDD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 HEGENBERGER RD STE 600
Mailing Address - Street 2:333 HEGENBERGER ROAD, SUITE 600
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-1462
Mailing Address - Country:US
Mailing Address - Phone:510-383-1642
Mailing Address - Fax:510-383-1616
Practice Address - Street 1:333 HEGENBERGER RD STE 600
Practice Address - Street 2:333 HEGENBERGER ROAD, SUITE 600
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-1462
Practice Address - Country:US
Practice Address - Phone:510-383-1642
Practice Address - Fax:510-383-1616
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor