PENNY TERRELL POUVOIR

VALLEJO, CA
NPI1386309672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-11-02
Last Update Date2021-11-02
Business Address
PENNY TERRELL POUVOIR
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: 707-552-5295
Mailing Address
PENNY TERRELL POUVOIR
1149 WARREN AVE
VALLEJO, CA 94591-7512
Phone number: