MELISSA LENAE WATERS

SAN RAFAEL, CA
NPI1841705530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-05
Last Update Date2017-12-05
Business Address
MELISSA LENAE WATERS
1477 LINCOLN AVE
SAN RAFAEL, CA 94901-2028
Phone number: 415-459-2395
Mailing Address
MELISSA LENAE WATERS
1477 LINCOLN AVE
SAN RAFAEL, CA 94901-2028
Phone number:
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