COREY RAYMOND WAKEN

NAPA, CA
NPI1083988018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-03-08
Last Update Date2012-03-08
Business Address
-- COREY RAYMOND WAKEN
2100 NAPA VALLEJO HWY BLDG M1&M2
NAPA, CA 94558-6234
Phone number: 707-257-1460
Mailing Address
-- COREY RAYMOND WAKEN
2100 NAPA VALLEJO HWY P.O. BOX 7026
NAPA, CA 94558-6234
Phone number: 707-257-1460
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