NATHANIEL RAY ROUSE

BERKELEY, CA
NPI1528316080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-08-15
Last Update Date2012-08-15
Business Address
-- NATHANIEL RAY ROUSE
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
Mailing Address
-- NATHANIEL RAY ROUSE
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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