JEREMY BLAKE NASH

SANTA ROSA, CA
NPI1609641810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  15720)
Enumeration Date2023-11-17
Last Update Date2023-11-17
Business Address
JEREMY BLAKE NASH SUDRC
2403 PROFESSIONAL DR STE 103
SANTA ROSA, CA 95403-3007
Phone number: 707-526-2999
Mailing Address
JEREMY BLAKE NASH SUDRC
2403 PROFESSIONAL DR STE 103
SANTA ROSA, CA 95403-3007
Phone number: 707-526-2999
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