DAPHNE RAE PRIDDY (NPI# 1497397509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497397509 |
| Entity Type | Individual |
| Full Name | DAPHNE RAE PRIDDY |
| Credential | AMFT, APCC |
| Practice Address |
1695 S San Jacinto Ave Ste K San Jacinto CA 92583-5103 |
| Practice Telephone | 9514653664 |
| Mailing Telephone | 9514653664 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
113782 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1695 S SAN JACINTO AVE STE K |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92583-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
| 1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
| 1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
| 1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
| 1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
| Find all providers in zip 92583 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397119 | Christina Wood | Counselor | 1484 Burns Ln, San Jacinto, CA 92583-2000 | 2020-02-11 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1750906145 | Mary Haroun | Counselor | 950 N Ramona Blvd, San Jacinto, CA 92582-2567 | 2020-06-10 |
| 1548745094 | Deanne M Dean | Counselor | 2045 S San Jacinto Ave, San Jacinto, CA 92583-5626 | 2018-10-01 |
| 1023535606 | Carmen Porche | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2017-08-24 |
| 1457876435 | Erica Marie Hall | Counselor | 1370 S State St Ste A, San Jacinto, CA 92583-4922 | 2017-08-10 |
| 1689118234 | Shawn Harper | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2016-12-15 |
| 1053854687 | Kenneth Stevens | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2016-11-30 |
| 1124575196 | Joycelynn Mariah Jones | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2016-09-07 |
| 1982151965 | Brandee Danice Sparrow | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2016-09-07 |
| Find all providers in SAN JACINTO | ||||
| City | SAN JACINTO |
| Zip Code | 92583 |
Please comment or provide details below to improve the information on DAPHNE RAE PRIDDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.