MEDICARE: EUCARIAH KANYIKA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	102927	CA

General Provider Information

NPI Number	:	1942156419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUCARIAH KANYIKA

Provider Business Mailing Address
First Line	:	3591 QUAIL LAKES DR APT 226
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-5285
Country	:	US
Telephone Number	:	209-921-0865
Fax Number	:

Provider Business Practice Location Address
First Line	:	1930 S D ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95206-2466
Country	:	US
Telephone Number	:	209-944-5590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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Directions to “ EUCARIAH KANYIKA ” Practice Location

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