VICTORIA MARIE GAITAN

UKIAH, CA
NPI1235539289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  145092 I)
Enumeration Date2014-08-27
Last Update Date2014-10-22
Business Address
VICTORIA MARIE GAITAN
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2618
Mailing Address
VICTORIA MARIE GAITAN
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2618