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DANA DEAN

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1881064590

Individual Registrant:
 DANA  DEAN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5494 PONY EXPRESS TRAIL  CAMINO, CA 95709 US
Tel: 530-644-3758  Fax: --

Contact information for business:
PO BOX 263  DIAMOND SPRINGS, CA 95619-0263 US
Tel: 530-748-5386  Fax: --

Registration Information:
NPI: 1881064590
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
N101YA0400XBehavioral Health & Social Service Providers
Counselor
CA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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