JOSE LOUIS SAFONT

SANTA ROSA, CA
NPI1003151531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  SO412231133)
Enumeration Date2012-12-10
Last Update Date2012-12-10
Business Address
-- JOSE LOUIS SAFONT
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7641
Mailing Address
-- JOSE LOUIS SAFONT
7946 SCRIVER CT
COTATI, CA 94931-4198
Phone number: 707-565-7641
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