Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003465444 |
---|---|
Provider Name | Deeana A Sawyer |
First Address | Desert Hot Springs, CA 92240-4852 |
Second Address | Desert Hot Springs, CA 92240-4852 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2019 |
Last Update Date | 24/09/2019 |