ANDRE FRANK CENICEROS

SAN RAFAEL, CA
NPI1346018603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  16065-i)
Enumeration Date2023-12-18
Last Update Date2023-12-18
Business Address
ANDRE FRANK CENICEROS
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
Mailing Address
ANDRE FRANK CENICEROS
138 PICNIC AVE
SAN RAFAEL, CA 94901-5003
Phone number: 415-720-9156
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