Individual
DORIS REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 CLEVELAND AVE STE B, SANTA ROSA, CA 95401-4298
(707) 292-7693
Mailing address
17 MILICENT WAY, SANTA ROSA, CA 95407-7613
(707) 292-7693
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
08/18/2016
Last updated
07/24/2025
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