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