Individual
MARANDA PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 KINGS COUNTY DR STE 106, HANFORD, CA 93230-5954
(559) 676-8116
Mailing address
2745 E CECIL AVE, VISALIA, CA 93292-8036
(559) 900-5507
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-KFHEIS
CA
Other
Enumeration date
01/23/2019
Last updated
03/06/2024
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