SHANNON NICOLE VERKETIS

VALLEJO, CA
NPI1962159889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1454820122)
Enumeration Date2022-03-10
Last Update Date2022-03-10
Business Address
SHANNON NICOLE VERKETIS RADT1 R1454820122
419 PENNSYLVANIA ST
VALLEJO, CA 94590-6933
Phone number: 707-643-2715
Mailing Address
SHANNON NICOLE VERKETIS RADT1 R1454820122
419 PENNSYLVANIA ST
VALLEJO, CA 94590-6933
Phone number: 707-643-2715
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