Individual
COURTNEY DEMILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
137 N COTTONWOOD ST, WOODLAND, CA 95695-6646
(530) 666-8630
Mailing address
7824 BELLINGRATH DR, ELVERTA, CA 95626-9725
(530) 788-3878
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40521
CA
Other
Enumeration date
09/05/2017
Last updated
02/22/2024
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