EMMETT T CAVEN

SANTA ROSA, CA
NPI1669795894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ri-C0912300833)
Enumeration Date2010-03-02
Last Update Date2010-03-02
Business Address
-- EMMETT T CAVEN RASi
183 PYTHIAN RD
SANTA ROSA, CA 95409-6541
Phone number: 707-571-2215
Mailing Address
-- EMMETT T CAVEN RASi
4757 ANNADEL HEIGHTS DR
SANTA ROSA, CA 95405-8208
Phone number: 707-217-4234
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