COCO DECARLO

GARDEN VALLEY, CA
NPI1083083281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1213050915)
Enumeration Date2015-09-17
Last Update Date2015-09-17
Business Address
-- COCO DECARLO 08-30-16
5607 MOUNT MURPHY RD
GARDEN VALLEY, CA 95633
Phone number: 530-333-9460
Mailing Address
-- COCO DECARLO 08-30-16
PO BOX 1666
PLACERVILLE, CA 95667-1666
Phone number: 530-333-9460