JANELL LAFORM

GALT, CA
NPI1316777881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1573210824)
Enumeration Date2024-08-07
Last Update Date2024-08-07
Business Address
Mrs. JANELL LAFORM RADT
750 SPAANS DR STE CDANDF
GALT, CA 95632-8609
Phone number: 209-744-9099
Mailing Address
Mrs. JANELL LAFORM RADT
768 GRIFFEY WAY
GALT, CA 95632-3065
Phone number: 916-612-2452
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