MICAELA VAN DINE

WEST SACRAMENTO, CA
NPI1750833711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  89875)
Enumeration Date2016-10-25
Last Update Date2016-10-25
Business Address
-- MICAELA VAN DINE
611 4TH ST
WEST SACRAMENTO, CA 95605-2605
Phone number: 916-256-0618
Mailing Address
-- MICAELA VAN DINE
611 4TH ST
WEST SACRAMENTO, CA 95605-2605
Phone number: 916-256-0618