Individual
YOLANDA MAYZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 JEFFERSON BLVD STE B180, WEST SACRAMENTO, CA 95605-2394
(916) 403-2900
Mailing address
500 JEFFERSON BLVD STE B180, WEST SACRAMENTO, CA 95605-2394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1286051217
CA
175T00000X
Peer Specialist
Primary
MPSS-YDPXAF
CA
Other
Enumeration date
04/12/2018
Last updated
11/14/2024
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