Provider Demographics
NPI:1265048037
Name:BARTEE, DANIEL ELI (CADC CAS)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ELI
Last Name:BARTEE
Suffix:
Gender:M
Credentials:CADC CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 LEILA AVENUE
Mailing Address - Street 2:APT 44
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0913
Mailing Address - Country:US
Mailing Address - Phone:530-355-8904
Mailing Address - Fax:
Practice Address - Street 1:555 LEILA AVE #44
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002
Practice Address - Country:US
Practice Address - Phone:530-355-8904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)