QIANA DESTINY TRINITY BURKE

GRASS VALLEY, CA
NPI1922860436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-01-29
Last Update Date2024-01-29
Business Address
QIANA DESTINY TRINITY BURKE RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-460-4082
Mailing Address
QIANA DESTINY TRINITY BURKE RADT
185 E MAIN ST UNIT 3066
GRASS VALLEY, CA 95945-9223
Phone number: 530-615-8154
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