Provider Demographics
NPI:1386833283
Name:DRENNAN, SALINA MARIE (CATC III)
Entity Type:Individual
Prefix:MRS
First Name:SALINA
Middle Name:MARIE
Last Name:DRENNAN
Suffix:
Gender:F
Credentials:CATC III
Other - Prefix:MS
Other - First Name:SALINA
Other - Middle Name:M
Other - Last Name:VILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RAS
Mailing Address - Street 1:768 PLEASANT VALLEY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DIAMOND SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95619-9260
Mailing Address - Country:US
Mailing Address - Phone:530-621-6207
Mailing Address - Fax:530-295-2596
Practice Address - Street 1:768 PLEASANT VALLEY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:DIAMOND SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95619-9260
Practice Address - Country:US
Practice Address - Phone:530-621-6207
Practice Address - Fax:530-295-2596
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA168169 III101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)