THABITI ALII TERRY

SANTA ROSA, CA
NPI1942854203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-07-25
Last Update Date2019-07-25
Business Address
THABITI ALII TERRY
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407-5004
Phone number: 707-571-5581
Mailing Address
THABITI ALII TERRY
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407-5004
Phone number: 707-571-5581
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