Provider Demographics
NPI:1548398316
Name:FRANKLIN, NYOKIE MICHELLE (DATA ENTRY ASSISTANT)
Entity Type:Individual
Prefix:
First Name:NYOKIE
Middle Name:MICHELLE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:DATA ENTRY ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5235 RIVERSIDE AVE
Mailing Address - Street 2:#5
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-4047
Mailing Address - Country:US
Mailing Address - Phone:510-232-4416
Mailing Address - Fax:415-826-6774
Practice Address - Street 1:820 VALENCIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-1737
Practice Address - Country:US
Practice Address - Phone:415-826-6767
Practice Address - Fax:415-826-6774
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADATA ENTRY101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)