ANDRE FRANK CENICEROS

SAN RAFAEL, CA
NPI1346018603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  23360-I)
Enumeration Date2023-12-18
Last Update Date2024-12-30
Business Address
ANDRE FRANK CENICEROS
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
Mailing Address
ANDRE FRANK CENICEROS
622 TAMALPAIS DR
CORTE MADERA, CA 94925-1633
Phone number: 415-720-9156
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