RICKEY SHANE ROLAND

VISALIA, CA
NPI1417453739
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-04-04
Last Update Date2018-04-04
Business Address
RICKEY SHANE ROLAND
1731 W WALNUT AVE
VISALIA, CA 93277-6232
Phone number: 559-732-4885
Mailing Address
RICKEY SHANE ROLAND
1731 W WALNUT AVE
VISALIA, CA 93277-6232
Phone number: 559-738-4885
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