Provider Demographics
NPI:1659703452
Name:MACDUFF, DARCELLE LENORE (CHT)
Entity Type:Individual
Prefix:MS
First Name:DARCELLE
Middle Name:LENORE
Last Name:MACDUFF
Suffix:
Gender:F
Credentials:CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2341 WISCONSIN CT
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-8479
Mailing Address - Country:US
Mailing Address - Phone:916-300-4849
Mailing Address - Fax:
Practice Address - Street 1:2341 WISCONSIN CT
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-8479
Practice Address - Country:US
Practice Address - Phone:916-300-4849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA$$$$$$$$$OtherNATIONAL GUILD OF HYPNOTHERAPISTS