EDWARD KEVIN PENAFIEL

NOVATO, CA
NPI1881417566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  19736)
Enumeration Date2024-11-01
Last Update Date2024-11-01
Business Address
EDWARD KEVIN PENAFIEL
191 KENWOOD CT
NOVATO, CA 94945-2563
Phone number: 415-960-7202
Mailing Address
EDWARD KEVIN PENAFIEL
191 KENWOOD CT
NOVATO, CA 94945-2563
Phone number: 415-960-7202
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