VANESSA ANN BACA

OAKLAND, CA
NPI1740144765
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  23120)
Enumeration Date2025-12-13
Last Update Date2025-12-13
Business Address
VANESSA ANN BACA
3408 ANDOVER ST
OAKLAND, CA 94609-2817
Phone number: 510-547-1531
Mailing Address
VANESSA ANN BACA
3408 ANDOVER ST
OAKLAND, CA 94609-2817
Phone number: 510-547-1531
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