TRIVERA RENELL GATES

FAIR OAKS, CA
NPI1871369546
Other NameTRIVERA RENELL ALLEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
TRIVERA RENELL GATES
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628-5139
Phone number: 916-962-2800
Mailing Address
TRIVERA RENELL GATES
2754 5TH ST
SACRAMENTO, CA 95818-2803
Phone number: