Provider Demographics
NPI:1558689489
Name:WALDRON, DANI (CADC-CAS)
Entity type:Individual
Prefix:
First Name:DANI
Middle Name:
Last Name:WALDRON
Suffix:
Gender:F
Credentials:CADC-CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:838 BEACH COURT
Mailing Address - Street 2:
Mailing Address - City:LOTUS
Mailing Address - State:CA
Mailing Address - Zip Code:95651
Mailing Address - Country:US
Mailing Address - Phone:530-626-7252
Mailing Address - Fax:916-315-0462
Practice Address - Street 1:838 BEACH COURT
Practice Address - Street 2:
Practice Address - City:LOTUS
Practice Address - State:CA
Practice Address - Zip Code:95651
Practice Address - Country:US
Practice Address - Phone:530-626-7252
Practice Address - Fax:530-626-7934
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)