Provider Demographics
NPI:1114195716
Name:FINCH, DEZAREE ANN (MFCT TRAINEE)
Entity Type:Individual
Prefix:MRS
First Name:DEZAREE
Middle Name:ANN
Last Name:FINCH
Suffix:
Gender:F
Credentials:MFCT TRAINEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 GREGORY PL
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-2522
Mailing Address - Country:US
Mailing Address - Phone:530-845-1678
Mailing Address - Fax:
Practice Address - Street 1:255 N LINCOLN ST
Practice Address - Street 2:A
Practice Address - City:DIXON
Practice Address - State:CA
Practice Address - Zip Code:95620-3238
Practice Address - Country:US
Practice Address - Phone:707-631-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist