Healthcare Provider Details

I. General information

NPI: 1396875530
Provider Name (Legal Business Name): MR. DANIEL G GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381 UNIVERSITY ST
HEALDSBURG CA
95448-3314
US

IV. Provider business mailing address

1381 UNIVERSITY ST
HEALDSBURG CA
95448-3314
US

V. Phone/Fax

Practice location:
  • Phone: 707-433-5494
  • Fax: 707-433-0229
Mailing address:
  • Phone: 707-433-5494
  • Fax: 707-433-0229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number113947
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: