Individual
CAROL THREDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 BRENTWOOD BLVD, BRENTWOOD, CA 94513-4000
(925) 809-7920
(925) 809-7928
Mailing address
9100 BRENTWOOD BLVD, BRENTWOOD, CA 94513-4000
(925) 809-7920
(925) 809-7928
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070726
MASTER PROVIDER NUMBER
CA
01
—
070753
MASTER PROVIDER NUMBER
CA
01
—
0726
MEDI-CAL PROVIDER NUMBER
CA
01
—
0753
DRUG MEDI-CAL BILLING NUM
CA
01
—
07533
ADOL TX ANTIOCH
CA
01
—
07534
DMC ADULT ANTIOCH
CA
01
—
07536
DMC ADOL ANTIOCH
CA
01
—
07551
ADULT TX BRENTWOOD
CA
01
—
07552
DMC ADULT BRENTWOOD
CA
01
—
07553
ADOL TX BRENTWOOD
CA
01
—
075531
ADULT TX ANTIOCH
CA
01
—
07555
DRUG COURT
CA
01
—
07556
BYRON RANCH
CA
01
—
07557
DMC ADOL BRENTWOOD
CA
01
—
56682
STAFF BILLING NUMBER
CA
Enumeration date
05/03/2007
Last updated
02/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us