Individual provider · Type 1 NPI

Charis Mandujano Villagomez

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1700420650 Active

Practice location

2403 Professional Dr Ste 101
Santa Rosa, CA 95403-3007

Call (707) 544-3295 Map

Mailing address

2403 Professional Dr
Santa Rosa, CA 95403-3007

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1700420650

Charis Mandujano Villagomez's National Provider Identifier is 1700420650, issued on Nov 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Nov 4, 2019.