MICHAEL WAYNE-SENSES RICHARDSON

VALLEJO, CA
NPI1215702642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  133834)
Enumeration Date2023-11-15
Last Update Date2023-11-15
Business Address
MICHAEL WAYNE-SENSES RICHARDSON
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
Mailing Address
MICHAEL WAYNE-SENSES RICHARDSON
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
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