KATHERINE ELIZABETH EVELYN SHORE

CARMICHAEL, CA
NPI1477201044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1460010322)
Enumeration Date2022-03-14
Last Update Date2024-02-14
Business Address
KATHERINE ELIZABETH EVELYN SHORE
8400 FAIR OAKS BLVD
CARMICHAEL, CA 95608-2502
Phone number: 916-944-3920
Mailing Address
KATHERINE ELIZABETH EVELYN SHORE
5311 ARGO WAY
SACRAMENTO, CA 95820-5739
Phone number: 916-719-2071