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Yolanda Amada Grose
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1316452097

Yolanda Amada Grose is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Yolanda Amada Grose practices in Santa Rosa, CA. The NPI Number for Yolanda Amada Grose is 1316452097 and holds a License No. 11096-R (California).

The current practice location address for Yolanda Amada Grose is 3555 Sonoma Hwy, Santa Rosa, CA and can be reached out via phone at 707-526-3150.

Location: 3555 Sonoma Hwy, Santa Rosa, CA, 95409-4024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316452097
Provider Name
Yolanda Amada Grose
Credential
Provider Entity Type
Individual
Gender
Female
Address
3555 Sonoma Hwy, Santa Rosa, CA, 95409-4024
Phone Number
707-526-3150
Fax Number
Provider Enumeration Date
12/04/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11096-R 01 CA CAADE
institution
Provider Business Practice Location Address Details
Address
3555 Sonoma Hwy
City
Santa Rosa
State
California
Zip
95409-4024
Phone Number
707-526-3150
Fax Number
person
Provider Business Mailing Address Details
Address
3555 Sonoma Hwy
City
Santa Rosa
State
California
Zip
95409-4024
Phone Number
707-526-3150
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
11096-R (California)
Definition
Definition to come...
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