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MS. SARA MARIE DANIELS RADT-1

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

Registrant NPI Number: 1558927038

Individual Registrant:
MS. SARA MARIE DANIELS RADT-1
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 586  CAMINO, CA 95709-0586 US
Tel: 530-644-3758  Fax: 530-644-3782

Registration Information:
NPI: 1558927038
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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