Healthcare Provider Details

I. General information

NPI: 1902712250
Provider Name (Legal Business Name): BIANCA DOOTSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 WALNUT AVE STE 208
SANTA CRUZ CA
95060-3929
US

IV. Provider business mailing address

104 WALNUT AVE STE 208
SANTA CRUZ CA
95060-3929
US

V. Phone/Fax

Practice location:
  • Phone: 831-423-9444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: