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MR. DANIEL LEE HUMPHREY

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

Registrant NPI Number: 1912322041

Individual Registrant:
MR. DANIEL LEE HUMPHREY 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
154 TULE CREEK ROAD  HAYFORK, CA 96041 US
Tel: 530-628-4111  Fax: 530-628-1982

Contact information for business:
PO BOX 91  HAYFORK, CA 96041-0091 US
Tel: 530-628-4111  Fax: 530-628-1982

Registration Information:
NPI: 1912322041
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CARI-H1301071139

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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