Provider Demographics
NPI:1790655645
Name:GARNICA, DAISY
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:
Last Name:GARNICA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 MILL ST STE 210
Mailing Address - Street 2:
Mailing Address - City:HEALDSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:95448-4462
Mailing Address - Country:US
Mailing Address - Phone:707-395-7550
Mailing Address - Fax:707-723-0330
Practice Address - Street 1:132 MILL ST STE 210
Practice Address - Street 2:
Practice Address - City:HEALDSBURG
Practice Address - State:CA
Practice Address - Zip Code:95448-4462
Practice Address - Country:US
Practice Address - Phone:707-395-7550
Practice Address - Fax:707-723-0330
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20036101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health