SHALAE HASKENS

SANTA CRUZ, CA
NPI1821549817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-10-14
Last Update Date2019-08-12
Business Address
SHALAE HASKENS RADT-I
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
Mailing Address
SHALAE HASKENS RADT-I
1221 MASTIC ST
SAN JOSE, CA 95110-3410
Phone number: 408-771-3011
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