SHANNA BOULDEN

ANTIOCH, CA
NPI1306216692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-09-30
Last Update Date2015-09-30
Business Address
-- SHANNA BOULDEN
1401 W 4TH ST
ANTIOCH, CA 94509-1024
Phone number: 925-778-3750
Mailing Address
-- SHANNA BOULDEN
1401 W 4TH ST
ANTIOCH, CA 94509-1024
Phone number: 925-778-3750
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