SHANE MILES SIMONS

SACRAMENTO, CA
NPI1861207557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  18695)
Enumeration Date2025-02-10
Last Update Date2025-02-10
Business Address
Mr. SHANE MILES SIMONS
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
Mailing Address
Mr. SHANE MILES SIMONS
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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