SHAUNTELL HUDSON

VALLEJO, CA
NPI1851750764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-19
Last Update Date2016-02-19
Business Address
-- SHAUNTELL HUDSON
112 BASALT DR
VALLEJO, CA 94589
Phone number: 707-342-0515
Mailing Address
-- SHAUNTELL HUDSON
112 BASALT DR
VALLEJO, CA 94589-2164
Phone number: 707-342-0515
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