KANDIS CHEYENNE OSBORNE

GRASS VALLEY, CA
NPI1780103960
Former NameKANDIS ELLIOTT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-09-19
Last Update Date2017-09-19
Business Address
KANDIS CHEYENNE OSBORNE
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
Mailing Address
KANDIS CHEYENNE OSBORNE
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: