Provider Demographics
NPI:1871036970
Name:FINNEY, JO-ANN (AOD COUNSELOR)
Entity type:Individual
Prefix:
First Name:JO-ANN
Middle Name:
Last Name:FINNEY
Suffix:
Gender:F
Credentials:AOD COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 COUNTY CENTER DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-3004
Mailing Address - Country:US
Mailing Address - Phone:707-566-0170
Mailing Address - Fax:707-526-3155
Practice Address - Street 1:2400 COUNTY CENTER DR
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-3004
Practice Address - Country:US
Practice Address - Phone:707-566-0170
Practice Address - Fax:707-526-3155
Is Sole Proprietor?:No
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8857-R101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor