RAEVAN MONICA SHEPHERD

UKIAH, CA
NPI1053812883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-02-27
Last Update Date2019-01-10
Business Address
RAEVAN MONICA SHEPHERD RAS
201 BRUSH ST
UKIAH, CA 95482-3424
Phone number: 707-462-6290
Mailing Address
RAEVAN MONICA SHEPHERD RAS
2681 LAKESHORE BLVD APT 7
LAKEPORT, CA 95453-6971
Phone number: 707-295-2304