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1669795894
EMMETT T CAVEN
SANTA ROSA, CA
NPI
1669795894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ri-C0912300833)
Enumeration Date
2010-03-02
Last Update Date
2010-03-02
Business Address
-- EMMETT T CAVEN RASi
183 PYTHIAN RD
SANTA ROSA, CA 95409-6541
Phone number: 707-571-2215
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Mailing Address
-- EMMETT T CAVEN RASi
4757 ANNADEL HEIGHTS DR
SANTA ROSA, CA 95405-8208
Phone number: 707-217-4234
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