Healthcare Provider Details

I. General information

NPI: 1346971496
Provider Name (Legal Business Name): AARON CADORE MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 05/23/2024
Certification Date: 05/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11434 B AVE
AUBURN CA
95603-2605
US

IV. Provider business mailing address

11434 B AVE
AUBURN CA
95603-2605
US

V. Phone/Fax

Practice location:
  • Phone: 530-886-2974
  • Fax: 530-889-7293
Mailing address:
  • Phone: 530-886-2974
  • Fax: 530-889-7293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: