Individual
DOUGLAS VADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 S MAIN ST, YREKA, CA 96097-3479
(530) 841-4200
Mailing address
1215 S MAIN ST, YREKA, CA 96097-3479
(530) 841-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
03/13/2008
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