| Veterans Administration | |
|
201 Walnut Ave Vallejo CA 94592-1107 | |
| (707) 562-8209 | |
| Not Available |
| Full Name | Veterans Administration |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 201 Walnut Ave, Vallejo, California |
| Authorized Official Name and Position | Debra Nathanson (MENTAL HEALTH SOCIAL WORKER) |
| Authorized Official Contact | 7075628209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Veterans Administration Po Box 304 Novato CA 94948-0304 Ph: (707) 562-8209 | Veterans Administration 201 Walnut Ave Vallejo CA 94592-1107 Ph: (707) 562-8209 |
| NPI Number | 1356458830 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356458830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 22073 (California) | Primary |
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