Lee Maree Fazzio-Sandoval

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1510500623 Issued in CA

Practice address

285 4TH St
Woodland, CA 95695-3501

Phone

(530) 662-2699

NPI assigned

Mar 4, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yolo Wayfarer Center (Christian Mission)

  • Substance Abuse Rehabilitation Facility
  • Woodland, CA
  • NPI 1831543578
  NPD
• Yolo Wayfarer Center (Christian Mission)

  • Point of Service
  • Woodland, CA
  • NPI 1922466226
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1144087388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 4TH ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953501",
            "telephone_number": "916-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 4TH ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953501",
            "telephone_number": "530-662-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZZIO-SANDOVAL",
        "first_name": "LEE MAREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1510500623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Elizabeth Fanucchi, B.S.N., R.N., P.H.N.
• Lindsay Nicole Farewell
• Elicia Faulk Ladd
• Sarah A Favila, MD
• Sara Fayyaz
• Feng Sun LLC
• Travin Feramisco
• Darlene A Ferrara, RDH
• Victoria Emiko Ferrendelli
• Kindra Fesmire

• Addiction (Substance Use Disorder) Counselor in Woodland, CA
• Providers in Woodland, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.