NATASHA ANNE WAGNER

GRASS VALLEY, CA
NPI1366294829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1556440424)
Enumeration Date2024-04-05
Last Update Date2024-04-05
Business Address
NATASHA ANNE WAGNER RADT
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
Mailing Address
NATASHA ANNE WAGNER RADT
10227 WELSH LN
GRASS VALLEY, CA 95949-9109
Phone number: 530-263-5685
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