Healthcare Provider Details

I. General information

NPI: 1821795873
Provider Name (Legal Business Name): LASHONDA PATRISE PIERCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LASHONDA POINTER

II. Dates (important events)

Enumeration Date: 02/10/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 2ND ST STE 104
SAN RAFAEL CA
94901-2701
US

IV. Provider business mailing address

1601 2ND ST STE 104
SAN RAFAEL CA
94901-2701
US

V. Phone/Fax

Practice location:
  • Phone: 415-305-3800
  • Fax:
Mailing address:
  • Phone: 415-459-2395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: