TERELL GIVESN

RANCHO CORDOVA, CA
NPI1316168891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- TERELL GIVESN
2801 ARAMON DR
RANCHO CORDOVA, CA 95670-4803
Phone number: 916-361-2089
Mailing Address
-- TERELL GIVESN
3600 DATA DR APT 190
RANCHO CORDOVA, CA 95670-7915
Phone number: 916-638-8646
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