Provider Demographics
NPI:1942068812
Name:ANDREWS, DARBIE MARIE (PPS)
Entity Type:Individual
Prefix:
First Name:DARBIE
Middle Name:MARIE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:DARBIE
Other - Middle Name:MARIE
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PPS
Mailing Address - Street 1:1260 UNION ST, RED BLUFF, CA 96080
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080
Mailing Address - Country:US
Mailing Address - Phone:530-917-6845
Mailing Address - Fax:
Practice Address - Street 1:1260 UNION ST, RED BLUFF, CA 96080
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080
Practice Address - Country:US
Practice Address - Phone:530-917-6845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230094775101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool