Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 01-031594 | CA |
NPI | 1013041771 |
---|---|
Provider Name | Linda Darden |
First Address | San Jacinto, CA 92583-5301 |
Second Address | San Jacinto, CA 92583-5301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 09/02/2017 |