JOSEPH R DEANDA

UKIAH, CA
NPI1285351734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  12247)
Enumeration Date2022-10-25
Last Update Date2022-10-26
Business Address
JOSEPH R DEANDA
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2621
Mailing Address
JOSEPH R DEANDA
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2621