SHANNA RAE COLLASO

ESCONDIDO, CA
NPI1578718912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV  Bachelor of Science)
Enumeration Date2008-11-26
Last Update Date2009-02-26
Business Address
Mrs. SHANNA RAE COLLASO Bachelor Of Science
130 S FIG ST
ESCONDIDO, CA 92025-4401
Phone number: 760-741-5098
Mailing Address
Mrs. SHANNA RAE COLLASO Bachelor Of Science
603 SEAGAZE DR # 289
OCEANSIDE, CA 92054-3005
Phone number: 702-321-8052
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