EVELYN TERRA

STOCKTON, CA
NPI1437404068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-07-19
Last Update Date2012-07-19
Business Address
-- EVELYN TERRA
8626 LOWER SACRAMENTO RD SUITE 41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
Mailing Address
-- EVELYN TERRA
15574 5TH ST
LATHROP, CA 95330-9725
Phone number: