AMY ELIZABETH FOSSELL

SANTA ROSA, CA
NPI1205047941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
AMY ELIZABETH FOSSELL
2403 PROFESSIONAL DR SUITE 103
SANTA ROSA, CA 95403-3007
Phone number: 707-526-2999
Mailing Address
AMY ELIZABETH FOSSELL
2403 PROFESSIONAL DR SUITE 103
SANTA ROSA, CA 95403-3007
Phone number: 707-526-2999
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