JEDEDIAH CHARLES BEALL

SANTA ROSA, CA
NPI1821528472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2017-06-15
Last Update Date2017-06-15
Business Address
JEDEDIAH CHARLES BEALL
440 ARROWOOD DR
SANTA ROSA, CA 95407-7503
Phone number: 707-284-2950
Mailing Address
JEDEDIAH CHARLES BEALL
2727 CANTERBURY DR
SANTA ROSA, CA 95405-8540
Phone number: 707-479-8697
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