DON LYLE SEVERN

SAN PABLO, CA
NPI1841761699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  CI21700218)
Enumeration Date2018-12-05
Last Update Date2018-12-05
Business Address
DON LYLE SEVERN CI21700218 (CADC 1 )
1515 MARKET AVE
SAN PABLO, CA 94806-4357
Phone number: 510-619-3000
Mailing Address
DON LYLE SEVERN CI21700218 (CADC 1 )
1515 MARKET AVE
SAN PABLO, CA 94806-4357
Phone number: 510-619-3000
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