Provider Demographics
NPI:1689110280
Name:PAPROCK, DARA (AMFT LCDC)
Entity type:Individual
Prefix:
First Name:DARA
Middle Name:
Last Name:PAPROCK
Suffix:
Gender:F
Credentials:AMFT LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 MARICOPA HWY # B240
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-3126
Mailing Address - Country:US
Mailing Address - Phone:805-421-7773
Mailing Address - Fax:
Practice Address - Street 1:1129 MARICOPA HWY # B240
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3126
Practice Address - Country:US
Practice Address - Phone:805-421-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24555101YA0400X
CA119121106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)