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Joseph R Deanda JR.
Addiction (Substance Use Disorder) Counselor in Ukiah, California
NPI 1285351734

Joseph R Deanda JR. is an Addiction (Substance Use Disorder) Counselor based in Ukiah, CA and is specialized in Addiction (Substance Use Disorder). Joseph R Deanda JR. practices in Ukiah, CA. The NPI Number for Joseph R Deanda JR. is 1285351734 and holds a License No. 12247 (California).

The current practice location address for Joseph R Deanda JR. is 1120 S Dora St, Ukiah, CA and can be reached out via phone at 707-472-2621.

Location: 1120 S Dora St, Ukiah, CA, 95482-6340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285351734
Provider Name
Joseph R Deanda JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1120 S Dora St, Ukiah, CA, 95482-6340
Phone Number
707-472-2621
Fax Number
Provider Enumeration Date
10/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1120 S Dora St
City
Ukiah
State
California
Zip
95482-6340
Phone Number
707-472-2621
Fax Number
person
Provider Business Mailing Address Details
Address
1120 S Dora St
City
Ukiah
State
California
Zip
95482-6340
Phone Number
707-472-2621
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
12247 (California)
Definition
Definition to come...
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