ROTHANNY L MOUN

CERES, CA
NPI1770399420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  SUDRC)
Enumeration Date2024-12-07
Last Update Date2024-12-07
Business Address
ROTHANNY L MOUN SUDRC
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
Mailing Address
ROTHANNY L MOUN SUDRC
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
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