Healthcare Provider Details

I. General information

NPI: 1831661685
Provider Name (Legal Business Name): ROSALEE AMBER YORK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9643 MCANARLIN AVE
DURHAM CA
95938-9613
US

IV. Provider business mailing address

9643 MCANARLIN AVE
DURHAM CA
95938-9613
US

V. Phone/Fax

Practice location:
  • Phone: 530-680-3296
  • Fax:
Mailing address:
  • Phone: 530-680-3296
  • Fax: 530-894-5791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number128273
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: