NITA JEAN VINCENT

SAN RAFAEL, CA
NPI1891472809
Former NameNITA JEAN MITCHELL-WHITE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  210002FN)
Enumeration Date2023-06-30
Last Update Date2023-06-30
Business Address
NITA JEAN VINCENT
1477 LINCOLN AVE
SAN RAFAEL, CA 94901-2028
Phone number: 415-459-2395
Mailing Address
NITA JEAN VINCENT
135 PAUL DR
SAN RAFAEL, CA 94903-2023
Phone number: 415-492-4444