Douglas Vader

Social Worker · Yreka, CA

Individual Active NPI

NPI number 1861517310

Practice location

1215 S Main St
Yreka, CA 96097-3479
Phone
(530) 841-4200

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NPI record

NPI
1861517310
Entity type
Individual (Type 1)
Enumeration date
March 20, 2007
Last updated
March 13, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —
Mental Health Counselor 101YM0800X — —

About Douglas Vader

Douglas Vader is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 1215 S Main St, Yreka, CA 96097-3479. The NPI number 1861517310 was assigned on March 20, 2007 and the record was last updated on March 13, 2008.

Frequently asked questions

What is the NPI number of Douglas Vader?

The NPI number is 1861517310.

What is the phone number of Douglas Vader?

The phone number listed for the practice location is (530) 841-4200.

Where is Douglas Vader located?

1215 S Main St, Yreka, CA 96097-3479.

What is the taxonomy code for Douglas Vader?

The primary taxonomy code is 104100000X – Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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