SearchCalifornia101YA0400X

Rose Weaver, CADC-II

NPI 1699813469 · on the registry since 2007 · sole proprietor

Practice

Address
15850 A Dam Road
Clearlake, CA 95422
Phone
(707) 994-6447
Fax
(707) 994-1875
Organisation at this address
Lake County Community Action Agency
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California