Deborah Averhart
Counselor in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1982135661
StatusActive
Last updated in NPPESMar 28, 2017
Details
- NPI
- 1982135661
- Entity type
- Individual (NPI-1)
- Name
- Ms. Deborah Averhart
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2017
- Last updated
- Mar 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
1430 Neotomas AveSanta Rosa, CA 95405-7575
Phone 707-569-4602 · Fax 707-565-7488
Mailing address
2403 Professional DrSuite 102
Santa Rosa, CA 95403-3007
Phone 707-571-2233 · Fax 707-571-2238
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