TOM PENLAND

SANTA ROSA, CA
NPI1487788923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
-- TOM PENLAND
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405-7575
Phone number: 707-565-7483
Mailing Address
-- TOM PENLAND
1265 PACIFIC AVE APT 31
SANTA ROSA, CA 95404-3429
Phone number: