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1982230934
VERNA ERVIN
SAN RAFAEL, CA
NPI
1982230934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 480010BN)
Enumeration Date
2020-03-20
Last Update Date
2020-08-18
Business Address
VERNA ERVIN CATC
1601 2ND ST STE 104
SAN RAFAEL, CA 94901-2701
Phone number: 415-456-6655
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Mailing Address
VERNA ERVIN CATC
555 ALASKA AVE APT 12
FAIRFIELD, CA 94533-7432
Phone number: 707-384-4917
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