Individual
DANIELLE-MAY RAYALA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 EUREKA RD STE 102, ROSEVILLE, CA 95661-2849
(530) 267-1700
Mailing address
1520 EUREKA RD STE 102, ROSEVILLE, CA 95661-2849
(530) 267-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2019
Last updated
09/14/2023
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