Provider Demographics
NPI:1821716671
Name:VATERS, APRIL (CADC-I)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:VATERS
Suffix:
Gender:F
Credentials:CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4661 ORANGE GROVE AVE APT 24
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-4260
Mailing Address - Country:US
Mailing Address - Phone:916-676-5532
Mailing Address - Fax:
Practice Address - Street 1:10089 FOLSOM BLVD STE A
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-1935
Practice Address - Country:US
Practice Address - Phone:916-366-6531
Practice Address - Fax:916-366-6532
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACI39070623101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)