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1316125529
TIMOTHY P EVERETTE
SANTA ROSA, CA
NPI
1316125529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 71771)
Enumeration Date
2008-02-11
Last Update Date
2015-03-24
Business Address
Mr. TIMOTHY P EVERETTE MFT intern
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-565-4850
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Mailing Address
Mr. TIMOTHY P EVERETTE MFT intern
3306 PARKER HILL RD
SANTA ROSA, CA 95404-1733
Phone number: 707-799-7128
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