Healthcare Provider Details

I. General information

NPI: 1801942032
Provider Name (Legal Business Name): DARREN LAWRENCE YARTZ BA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 04/13/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W 6TH ST
CHICO CA
95928-5508
US

IV. Provider business mailing address

260 COHASSET RD STE 120
CHICO CA
95926-2282
US

V. Phone/Fax

Practice location:
  • Phone: 530-894-8008
  • Fax:
Mailing address:
  • Phone: 530-894-5933
  • Fax: 530-872-7784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: