Provider Demographics
NPI:1356226757
Name:GARCIA, ADASHA RAFAEL
Entity type:Individual
Prefix:
First Name:ADASHA
Middle Name:RAFAEL
Last Name:GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:FINLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95435-0295
Mailing Address - Country:US
Mailing Address - Phone:707-413-9809
Mailing Address - Fax:
Practice Address - Street 1:14715 EAST HWY 20
Practice Address - Street 2:
Practice Address - City:CLEARLAKE OAKS
Practice Address - State:CA
Practice Address - Zip Code:95423
Practice Address - Country:US
Practice Address - Phone:707-998-1800
Practice Address - Fax:707-998-0122
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASUDRC15892101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)