Provider Demographics
NPI:1861517591
Name:ARMSTRONG, BETTY SUE (RRW)
Entity type:Individual
Prefix:MS
First Name:BETTY
Middle Name:SUE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RRW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 RIDEOUT WAY
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-4010
Mailing Address - Country:US
Mailing Address - Phone:530-822-7320
Mailing Address - Fax:530-822-7470
Practice Address - Street 1:595 BOYD ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5028
Practice Address - Country:US
Practice Address - Phone:530-822-7320
Practice Address - Fax:530-822-7470
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARW0334101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)