MEDICARE: DAISY GARNICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	20036	CA

General Provider Information

NPI Number	:	1790655645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAISY GARNICA

Provider Business Mailing Address
First Line	:	132 MILL ST STE 210
Second Line	:
City	:	HEALDSBURG
State	:	CA
Zip	:	95448-4462
Country	:	US
Telephone Number	:	707-395-7550
Fax Number	:	707-723-0330

Provider Business Practice Location Address
First Line	:	132 MILL ST STE 210
Second Line	:
City	:	HEALDSBURG
State	:	CA
Zip	:	95448-4462
Country	:	US
Telephone Number	:	707-395-7550
Fax Number	:	707-723-0330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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Directions to “ DAISY GARNICA ” Practice Location

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