DARLENE JEAN SELF

MARYSVILLE, CA
NPI1215211321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  PT32279)
Enumeration Date2011-10-07
Last Update Date2011-10-07
Business Address
-- DARLENE JEAN SELF LPT
1496 N BEALE RD
MARYSVILLE, CA 95901-6205
Phone number: 530-749-8640
Mailing Address
-- DARLENE JEAN SELF LPT
PO BOX 483
OLIVEHURST, CA 95961-0483
Phone number: 530-742-0408
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