Provider Demographics
NPI:1083876494
Name:BEECHER, VONDA RAE (CAADE)
Entity Type:Individual
Prefix:MISS
First Name:VONDA
Middle Name:RAE
Last Name:BEECHER
Suffix:
Gender:F
Credentials:CAADE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 MARINA BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-2102
Mailing Address - Country:US
Mailing Address - Phone:925-439-6953
Mailing Address - Fax:925-439-7127
Practice Address - Street 1:535 MARINA BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-2102
Practice Address - Country:US
Practice Address - Phone:925-439-6953
Practice Address - Fax:925-439-7127
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)