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1497139752
SHANA BECERRA
SANTA ROSA, CA
NPI
1497139752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-07-16
Last Update Date
2015-07-16
Business Address
-- SHANA BECERRA
4245 HOEN AVE
SANTA ROSA, CA 95405-7746
Phone number: 707-703-8879
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Mailing Address
-- SHANA BECERRA
4245 HOEN AVE
SANTA ROSA, CA 95405-7746
Phone number: 707-703-8879
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