Organization
WATERFORD UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN VISS (ASSISTANT SUPERINTENDENT)
(209) 874-1809
Entity
Organization
Contact information
Practice address
121 S REINWAY AVE, WATERFORD, CA 95386-9629
(209) 874-9060
Mailing address
219 N REINWAY AVE STE 2, WATERFORD, CA 95386-8906
(209) 874-1809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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