Provider Demographics
NPI:1912965567
Name:DRAIN, WENDY M (MS, CGC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:M
Last Name:DRAIN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 DIVISION ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3269
Mailing Address - Country:US
Mailing Address - Phone:951-781-9923
Mailing Address - Fax:951-781-9924
Practice Address - Street 1:5750 DIVISION ST
Practice Address - Street 2:SUITE 104
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3269
Practice Address - Country:US
Practice Address - Phone:951-781-9923
Practice Address - Fax:951-781-9924
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS