KEVIN TA

WOODLAND, CA
NPI1881022994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-10-29
Last Update Date2013-10-29
Business Address
-- KEVIN TA
584 KENTUCKY AVE
WOODLAND, CA 95695-2779
Phone number: 530-661-3213
Mailing Address
-- KEVIN TA
584 KENTUCKY AVE
WOODLAND, CA 95695-2779
Phone number:
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