Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | RI-D1406042103 | CA |
NPI | 1003235334 |
---|---|
Provider Name | Sarah Nicole Durbin |
First Address | Bakersfield, CA 93301-4709 |
Second Address | Bakersfield, CA 93301-4709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 25/08/2014 |