JERRY ALAN SHAVER

WOODLAND, CA
NPI1659560027
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-10-22
Last Update Date2007-10-22
Business Address
-- JERRY ALAN SHAVER
178 W BEAMER ST
WOODLAND, CA 95695-2663
Phone number: 530-666-8655
Mailing Address
-- JERRY ALAN SHAVER
178 W. BEAMER ST.
WOODLAND, CA 95695-2663
Phone number:
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