Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1043460660 |
---|---|
Provider Name | Mr. Dale Yang |
First Address | Oroville, CA 95965-4646 |
Second Address | Oroville, CA 95965-4646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 29/01/2021 |