JESSE AQUINO

SANTA ROSA, CA
NPI1245544642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RI-A1007271719)
Enumeration Date2010-07-28
Last Update Date2010-07-28
Business Address
-- JESSE AQUINO RASI
429 SPEERS RD
SANTA ROSA, CA 95409-3123
Phone number: 707-571-2215
Mailing Address
-- JESSE AQUINO RASI
PO BOX 2587
SANTA ROSA, CA 95405-0587
Phone number: 707-571-2215