CHANTENIQUE ANDERSON

CERES, CA
NPI1952144776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1560150524)
Enumeration Date2024-06-18
Last Update Date2024-06-18
Business Address
CHANTENIQUE ANDERSON
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
Mailing Address
CHANTENIQUE ANDERSON
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7442
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