Provider Demographics
NPI:1003038357
Name:REUSZE, TOBY ANN (LICENSED AOD COUNSEL)
Entity Type:Individual
Prefix:
First Name:TOBY
Middle Name:ANN
Last Name:REUSZE
Suffix:
Gender:F
Credentials:LICENSED AOD COUNSEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4138 TRAVIS HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:YREKA
Mailing Address - Zip Code:96097
Mailing Address - Country:UM
Mailing Address - Phone:530-841-4789
Mailing Address - Fax:
Practice Address - Street 1:2060 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-9538
Practice Address - Country:US
Practice Address - Phone:530-841-4100
Practice Address - Fax:530-841-4881
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCI04200315101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)