Individual
DANA ZICKEFOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 MAIN STREET, WEAVERVILLE, CA 96093
(530) 623-1362
(530) 623-1447
Mailing address
PO BOX 1640, WEAVERVILLE, CA 96093-1640
(530) 623-1362
(530) 623-1447
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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