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Individual

TYISHA MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
391 TAYLOR BLVD STE 100, PLEASANT HILL, CA 94523-2289
(925) 608-6550
(925) 608-6592
Mailing address
1034 OAK GROVE RD, CONCORD, CA 94518-3225
(925) 681-4450
(925) 646-5365

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CA
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary
MPSS-QXSVAO
CA
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
12/20/2016
Last updated
07/17/2025
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