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1871039974
LISA NADINE OVERHOLT
EUREKA, CA
NPI
1871039974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-01-12
Last Update Date
2017-01-12
Business Address
Ms. LISA NADINE OVERHOLT
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
Ms. LISA NADINE OVERHOLT
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Copy
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