Healthcare Provider Details

I. General information

NPI: 1861517591
Provider Name (Legal Business Name): BETTY SUE ARMSTRONG RRW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 BOYD ST
YUBA CITY CA
95991-5028
US

IV. Provider business mailing address

1145 RIDEOUT WAY
MARYSVILLE CA
95901-4010
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-7320
  • Fax: 530-822-7470
Mailing address:
  • Phone: 530-822-7320
  • Fax: 530-822-7470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRW0334
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: